What is the CPT code for phenytoin?
What is the CPT code for phenytoin?
Phenytoin (Dilantin)
| Test ID | LAB31 |
|---|---|
| CPT Code(s) | 80185 |
| Group/Individual Test | Individual |
| Laboratory | Core Laboratory |
| Tube Station | Routine: 30; STAT: 888 |
What tube do you use for phenytoin?
Red-top tube or green-top (heparin) tube. Do not use a gel-barrier tube. The use of gel-barrier tubes is not recommended due to slow absorption of the drug by the gel.
What is Dilantin level blood test?
The Phenytoin Test is used to test for phenytoin, which is useful in generalized tonic-clonic, complex partial, and simple partial seizures and frequently is chosen for initial therapy, particularly in adults.
What is normal phenytoin level?
The therapeutic ranges for most adults have been established at 10.0-20.0 mcg/mL for total phenytoin (bound plus unbound) and 1.0-2.0 mcg/mL for free phenytoin (unbound only).
What color tube is used for a CBC?
8. The following tests may be drawn in the same LAVENDER (PURPLE) top tube: CBC, SED RATE (ESR), RETICULOCYTE Draw an extra LAVENDER for each (GLYCOHEMOGLOBIN and BNP).
What are the side effects of phenytoin?
Phenytoin may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- difficulty falling asleep or staying asleep.
- uncontrollable eye movements.
- abnormal body movements.
- loss of coordination.
- confusion.
- slurred speech.
- headache.
- changes in your sense of taste.
What is the antidote for Dilantin?
There is no antidote, and there is no evidence that any method of gastrointestinal decontamination or enhanced elimination improves outcome. Activated charcoal should be considered if the patient presents early; however, the role of multiple-dose activated charcoal is controversial.
How do you draw phenytoin levels?
Monitoring: Drawing levels: Draw peak 30 minutes after a 30 infusion or 60 minutes after an IM injection. Draw trough within 30 minutes prior to next dose or at least one half-life after the peak.
What happens if Dilantin levels are too high?
Dilantin, or phenytoin, toxicity happens when you have high levels of Dilantin in your body that become harmful. Dilantin is a medicine that is used to prevent and treat seizures. Dilantin toxicity can lead to a coma.
How often is Dilantin level checked?
Depending on the state of the patient, phenytoin levels are generally monitored at 3- to 12-months intervals10.
What is a toxic level of phenytoin?
Signs and symptoms of phenytoin toxicity typically correspond to the serum level, and progress from occasional mild nystagmus at 10-20 mcg/mL (the therapeutic range) to coma and seizures at levels above 50 mcg/mL (see Presentation and Workup).
How often do you monitor phenytoin levels?