Tricyclic Antidepressants

Test Code: TD_TCA

CPT Code(s):
1-7 Confirmations: G0480;
8-14 Confirmations: G0481;
15-21 Confirmations: G0482;
22+ Confirmations: G0483

$29

Test Details

Alternative Name(s)

TCA

Test Includes

Amitriptyline
Nortriptyline
Clomipramine
Desipramine
Doxepin
Desmethyl Doxepin
Imipramine
Trimipramine

Methodology

Urine

Rejection Criteria

Specimens with any preservatives

Reference Range(s)

Negative

Specimen Requirements

Preferred Specimen

Urine transport tube or cup

Minimum Volume

1 mL urine

Sample Stability

30 days refrigerated

Transport Temperature

Refrigerated

Collection Instructions

After obtaining a urine sample from patient, unscrew the cap of the sample cup and submerge the tip of transfer straw into the specimen. Insert a 6mL additive-free tube, allowing the urine to fill the tube until the flow ceases.

Alternative Specimen

N/A