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St. John Health System
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Vancomycin Trough

Order Name VANCO TROU
Test Number: 4005950
Revision Date 06/04/2021
Test Name Methodology LOINC Code
Vancomycin Trough
Enzyme Multiplied Immunoassay Technique 4092-3 
SPECIMEN REQUIREMENTS
Specimen Specimen Volume (min) Specimen Type Specimen Container Transport Environment
Preferred 1 mL (0.5) Plasma Lithium Heparin PST (Light Green Top) Refrigerated or Frozen
Alternate 1 1 mL (0.5) Serum Clot Activator SST Refrigerated or Frozen
Instructions Trough: Draw specimen immediately preceding next dose.
Separate plasma/serum from cells/gel immediately.
Stability: Refrigerated 7 days, Frozen 14 days.
GENERAL INFORMATION
Testing Schedule Daily 
Expected TAT 1-2 days 
Clinical Use Useful for optimizing drug dosage and assessing toxicity. 
CPT Code(s) 80202
Internal Comments JK 4/19/17 updated per [(RYAN HATLEY) -- 04/18/17 12:56:00 PM]
Please update the instructions for these tests to read:
Vancomycin Trough
"Trough: draw specimen immediately preceding next dose. Separate from cells immediately. Specimen stability: Refrigerated 7 days"
10/2/19 change cpt from 80203 to 80202 - it is correct in HNAM JK
 06/04/2021 stab - JK
Service Provided By Labcorp Oklahoma, Inc.
Lab Section Chemistry