Geisinger Medical Laboratories Test Catalog

Order Display Name: Geisinger Epic Procedure Code Or ID CPT Code:  

DIGOXIN LEVEL

Geisinger Epic Procedure Code: LAB2183             Geisinger Epic ID: 6345
       

SPECIMEN COLLECTION
Specimen type:
Serum or plasma
Preferred collection container:
Specimen required:
2 mL serum or plasma; minimum 0.2 mL.
Patient preparation:
Specimen should be drawn as a trough level just prior to the next dose or 8-12 hours after the last dose. In patients with renal impairment, specimen should be drawn as a trough level just prior to the next dose or 12-24 hours after the last dose. Patient cannot be on Digibind.

SPECIMEN PROCESSING
Specimen processing instructions:
Allow serum to clot. Centrifuge to separate serum or plasma within 2 hours of collection. 
Transport temperature:
Refrigerated (preferred) or frozen.
Specimen stability:
Refrigerated: 1 day. Frozen: 2 weeks.
Rejection criteria:
Stability limits exceeded.

TEST DETAILS
Interpretation guide:
Recommended trough therapeutic ranges:
Heart failure: 0.5 to 0.8 ng/mL
Atrial fibrillation: 0.5 to 1.1 ng/mL
Critical values/courtesy alerts:
Greater than or equal to 2.5 ng/mL
CPT code(s):
80162
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
Digoxin.
Methodology:
Enzyme Immunoassay (EIA)
Synonyms:
LANOXIN, DIG, DIGITEK
Clinical significance:
Digoxin is a cardiac glycoside derived from the digitalis plant. It is used to treat congestive heart failure and arterial dysrhythmias. Digoxin levels are monitored to assure adequate therapeutic levels are acheived and to avoid toxicity.
Doctoral Director(s:)
Hoi-Ying Elsie Yu, PhD, DABCC, FADLM
Sheng-Ying (Margaret) Lo, PhD, DABCC    
Review Date: 04/21/2023

Performing Locations

Geisinger Medical Center

Performing laboratory: Automated Chemistry
Technical Lead: Megan Woodruff
Frequency: Daily, Monday - Sunday
Performed STAT? Yes

Geisinger Wyoming Valley Medical Center

Performing laboratory: ATL+
Technical Lead: Danielle Mostowski    
Frequency: Daily, all shifts    
Performed STAT? Yes

Geisinger Community Medical Center

Performing laboratory: Chemistry
Technical Lead: Ann Mack, Deborah Dempsey  
Frequency: Daily    
Performed STAT? Yes

Geisinger Lewistown Hospital

Performing laboratory: Chemistry
Technical Lead: Jane Kifer  
Frequency: All shifts    
Performed STAT? Yes

Geisinger South Wilkes-Barre

Technical lead: Bernadette Johnson    
Frequency: Daily, all shifts    
Performed STAT? Yes
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