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Epic Code LAB31 Phenytoin, Total

Test Name Alias

Dilantin |Diphenylhydantoin | DIL | 1230101038

Interface Order Alias

10218

Ordering Instructions

Inpatients: Please contact your local inpatient pharmacy for information regarding appropriate timing for blood drug level orders, if needed.

Collection Instructions

Specimen Collection: Blood

 

Container(s): Gold Top (Serum Separator-SST Gel) or Light Green Top (Lithium Heparin Gel)*

Minimum Volume to Collect: 1.0 mL

Neonate Volume to Collect: 0.5 mL

Capillary collect ok? Yes

Microtainer acceptable: Yes

 

Collection Instructions:

  • Indicated date and time of last dose.
  • Specimen usually collected as trough level.

  • Avoid gross hemolysis

  • After collection, gently invert tube 8-10 times.
  • Specimen should be processed within 2 hours See Processing Instructions.

*Red top (plain) or Green top (Lithium Heparin, Non-Gel) are also acceptable specimen containers.

 

Processing Instructions (Laboratory, Outpatient or Off-site collection)

Processed Specimen: Serum or Plasma

Centrifuge/Spin: Yes

Aliquot: Yes

 

Processing Instructions:

  • Serum is preferred specimen type
  • Green Tube/Plasma: Centrifuge after collection.
  • Gold Tube/Serum: Allow blood to clot for 30 minutes in a vertical position and centrifuge within 2 hours.

Transport Temperature: Refrigerate

Specimen Transport Temperature

Refrigerate

Specimen Stability

Ambient: 8 hours

Refrigerate: 4 days capped

Frozen: 1 month capped (serum). Do not freeze lithium heparin plasma

Laboratory Retention: 72 hours

Test Frequency

Available 24 hours, usual TAT 1 day.

Reference Range

10.0 – 20.0 mcg/mL

 

Laboratory Critical Values Table

Performing Department

Chemistry

Performing Department Laboratory Location

CHW

Corewell Health Reference Laboratory, Grand Rapids, MI
Corewell Health Big Rapids Laboratory, Big Rapids, MI
Corewell Health Gerber Laboratory, Fremont, MI
Corewell Health Greenville Laboratory, Greenville, MI
Corewell Health Ludington Laboratory, Ludington, MI
Corewell Health Pennock Laboratory, Hastings, MI
Corewell Health Reed City Laboratory, Reed City, MI
Corewell Health Zeeland Laboratory, Zeeland, MI

CHS
Corewell Health Lakeland St. Joseph Laboratory, St. Joseph, MI
Corewell Health Lakeland Niles Laboratory, Niles, MI

Methodology

Kinetic Interaction of Micro particles in a Solution (KIMS)

CPT

80185

CDM Code

3018018501

Epic Test ID

1230101038

LOINC

Phenytoin Total Lvl: 3968-5

Reviewed Date

3/7/2024

Updated Date

5/2/2025 - CHS info added

12/2/2025 - Gold Top Preferred specimen

Orderable Regions

Southwest; West