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25113 Dabigatran Assay (1445SP)

Dabigatran Assay (1445SP)
Test Code: DABIGSO
Synonyms/Keywords
​Pradaxa
Useful For
​Therapeutic Drug Monitoring
Specimen Requirements
Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
Serum or Plasma​ Red Top Tube (RTT) or EDTA Lavender Top Tube (LTT) or EDTA Pink Top Tube (PTT)​ 1 mL​ ​0.3 mL
Collection Processing Instructions
​Promptly centrifuge and separate Serum or Plasma into a plastic screw capped vial using approved guidelines. Transport sample refrigerated. 
Specimen Stability Information
Specimen Type Temperature Time
Serum/Plasma​ ​ ​ Room Temperature​ 30 days​
Refrigerated​ 30 days​
Frozen (-20 °C)​ 30 days​
Rejection Criteria
Polymer gel separation tube (SST or PST)
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
National Medical Services (NMS)​
Monday​ ​8 days High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS) ​
Reference Range Information
​For 150 mg/day dosage: peak is 42 ng/mL
For 300 mg/day dosage: peak is 130 ng/mL
Outreach CPTs
CPT Modifier
(if needed)
Quantity Description Comments
80375​
G0480 ​For Medicare/Medicaid
Synonyms/Keywords
​Pradaxa
Ordering Applications
Ordering Application Description
​Centricity ​Dabigatran Assay (1445SP)
​Cerner ​None
COM​ ​Dabigatran Assay (1445SP)
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
Serum or Plasma​ Red Top Tube (RTT) or EDTA Lavender Top Tube (LTT) or EDTA Pink Top Tube (PTT)​ 1 mL​ ​0.3 mL
Collection Processing
​Promptly centrifuge and separate Serum or Plasma into a plastic screw capped vial using approved guidelines. Transport sample refrigerated. 
Specimen Stability Information
Specimen Type Temperature Time
Serum/Plasma​ ​ ​ Room Temperature​ 30 days​
Refrigerated​ 30 days​
Frozen (-20 °C)​ 30 days​
Rejection Criteria
Polymer gel separation tube (SST or PST)
Useful For
​Therapeutic Drug Monitoring
Reference Range Information
​For 150 mg/day dosage: peak is 42 ng/mL
For 300 mg/day dosage: peak is 130 ng/mL
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
National Medical Services (NMS)​
Monday​ ​8 days High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS) ​
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)
Quantity Description Comments
80375​
G0480 ​For Medicare/Medicaid
For most current information refer to the Marshfield Laboratory online reference manual.