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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​ ​ ​
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​ ​3 days High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS) ​
Reference Lab
National Medical Services (NMS)
Reference Range Information
​For 150mg/day dosage: peak is 42ng/mL
For 300mg/day dosage: peak is 130ng/mL
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
80345​
 ​ ​ ​ ​
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​ ​ ​
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 150mg/day dosage: peak is 42ng/mL
For 300mg/day dosage: peak is 130ng/mL
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
National Medical Services (NMS)​
 Monday​ ​3 days High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS) ​
Reference Lab
National Medical Services (NMS)
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
80345​
 ​ ​ ​ ​
G0480 ​ ​ ​For Medicare/Medicaid
For most current information refer to the Marshfield Laboratory online reference manual.