91172      Nortriptyline
Specimen:
  Collect: One 10 mL Red Top

Also Acceptable
One 4 mL Lavender (EDTA)
One 4 mL Green Top (Na Heparin)
One 4 mL Gray Top 
  Submit: 2 mL (Min:0.6 mL) Serum. Submit Refrigerated. Submit in a Standard Transport Tube.

Also Acceptable
2 mL (Min:0.6 mL) Plasma. Submit Refrigerated. Submit in a Standard Transport Tube. 
  Special Handling: If amitriptyline administered, order Test # 91018 Amitriptyline/Nortriptyline 
  Rejection Criteria: Use of separator tubes 
  Stability: Ambient: 5 Day(s); Refrigerated: 2 Week(s); Frozen: 6 Month(s); Incubated: Unacceptable 
Methodology: Fluorescence Polarization Immunoassay (FPIA) 
Performed: Sun-Sat 
Reported: 2-3 Day(s) 
CPT Codes:
80182 - TDM Nortriptyline
Interpretive Data:
General Reference Range : 50-150 ng/mL