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25453 Antidepressant Screen, Urine Quantitative (885300)

Antidepressant Screen, Urine Quantitative (885300)
Test Code: ANTIDSO
Synonyms/Keywords
​TCA Screen, Tricyclic Screen
Test Components
Amitriptyline; Nortriptyline; Imipramine; Desipramine; Sertraline; Desmethylsertraline; Fluoxetine; Norfluoxetine; Clomipramine; Desmethylclomipramine; Doxepin; Desmethyldoxepin; Maprotiline; Protriptyline; Trimipramine; Paroxetine; Cyclobenzaprine
Useful For

​Detect use of antidepressant class drugs

Specimen Requirements
 
 
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
​No ​Random Unpreserved Urine ​Urine Transfer Tube​Sterile Container ​3 mL​0.6 mL
Specimen Stability Information
Specimen Type Temperature Time
​Urine ​Room Temperature ​3 days
​Refrigerate ​1 week
​Frozen 1 month
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Medtox Laboratories ​Monday through Sunday ​5-7 days ​Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)
Reference Lab
Reference Range Information
See Report
Outreach CPTs
CPT Modifier
(if needed)
Quantity Description Comments
80333
80337
​80369
Synonyms/Keywords
​TCA Screen, Tricyclic Screen
Test Components
Amitriptyline; Nortriptyline; Imipramine; Desipramine; Sertraline; Desmethylsertraline; Fluoxetine; Norfluoxetine; Clomipramine; Desmethylclomipramine; Doxepin; Desmethyldoxepin; Maprotiline; Protriptyline; Trimipramine; Paroxetine; Cyclobenzaprine
Ordering Applications
Ordering Application Description
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
 
 
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
​No ​Random Unpreserved Urine ​Urine Transfer Tube​Sterile Container ​3 mL​0.6 mL
Specimen Stability Information
Specimen Type Temperature Time
​Urine ​Room Temperature ​3 days
​Refrigerate ​1 week
​Frozen 1 month
Useful For

​Detect use of antidepressant class drugs

Test Components
Amitriptyline; Nortriptyline; Imipramine; Desipramine; Sertraline; Desmethylsertraline; Fluoxetine; Norfluoxetine; Clomipramine; Desmethylclomipramine; Doxepin; Desmethyldoxepin; Maprotiline; Protriptyline; Trimipramine; Paroxetine; Cyclobenzaprine
Reference Range Information
See Report
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Medtox Laboratories ​Monday through Sunday ​5-7 days ​Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)
Reference Lab
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)
Quantity Description Comments
80333
80337
​80369
For most current information refer to the Marshfield Laboratory online reference manual.