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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
Antidepressant screen includes the analysis for: amitriptyline, clomipramine and desmethylclomipramine, cyclobenzaprine, desipramine, doxepin and desmethyldoxepin, fluoxetine and norfluoxetine, imipramine, maprotiline, nortriptyline, paroxetine, protriptyline, sertraline and desmethylsertraline, trimipramine.
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 ​3.0 mL ​1.0 mL ​
Specimen Stability Information
Specimen Type Temperature Time​​
​Urine ​Room Temperature ​3 days
​ ​Refrigerate ​1 week
​ ​Frozen ​Indefinitely
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumenta​​tion
​Sent to Medtox Laboratories ​Monday through Sunday ​3 days ​Immunoassay (IA); Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)
Reference Lab
Medtox Laboratories
Reference Range Information
See Report
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Commen​​ts
80333 ​ ​ ​
80337 ​ ​ ​
​80369 ​ ​ ​ ​
​82542 ​ ​ ​Confirmation ​if needed
Synonyms/Keywords
​TCA Screen, Tricyclic Screen
Test Components
Antidepressant screen includes the analysis for: amitriptyline, clomipramine and desmethylclomipramine, cyclobenzaprine, desipramine, doxepin and desmethyldoxepin, fluoxetine and norfluoxetine, imipramine, maprotiline, nortriptyline, paroxetine, protriptyline, sertraline and desmethylsertraline, trimipramine.
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 ​3.0 mL ​1.0 mL ​
Specimen Stability Information
Specimen Type Temperature Time​​
​Urine ​Room Temperature ​3 days
​ ​Refrigerate ​1 week
​ ​Frozen ​Indefinitely
Test Components
Antidepressant screen includes the analysis for: amitriptyline, clomipramine and desmethylclomipramine, cyclobenzaprine, desipramine, doxepin and desmethyldoxepin, fluoxetine and norfluoxetine, imipramine, maprotiline, nortriptyline, paroxetine, protriptyline, sertraline and desmethylsertraline, trimipramine.
Reference Range Information
See Report
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumenta​​tion
​Sent to Medtox Laboratories ​Monday through Sunday ​3 days ​Immunoassay (IA); Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)
Reference Lab
Medtox Laboratories
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Commen​​ts
80333 ​ ​ ​
80337 ​ ​ ​
​80369 ​ ​ ​ ​
​82542 ​ ​ ​Confirmation ​if needed
For most current information refer to the Marshfield Laboratory online reference manual.