Ordering Recommendation
Mnemonic
ACYCLOV
Methodology

Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry

Performed

Varies

Reported

7-10 days

New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation
Collect

Plain red, lavender (EDTA) or Gray (sodium fluoride/potassium oxalate)..

Specimen Preparation

Separate serum or plasma from cells within 2 hours. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.21  mL)
Test is not performed at ARUP; separate specimens must be submitted when multiple tests are ordered.

Storage/Transport Temperature

Refrigerated. Also acceptable: Room temperature and frozen.

Unacceptable Conditions

Separator tubes.

Remarks
Stability

Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 month

Reference Interval

By report

Interpretive Data



Compliance Category

Performed by non-ARUP Laboratory

Note
Hotline History
N/A
CPT Codes

80375 (Alt code: G0480)

Components
Component Test Code* Component Chart Name LOINC
0091327 Acyclovir 9416-9
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Aliases
  • Acycloguanosine
  • Zovirax
Acyclovir, Serum or Plasma

National Medical Services (NMS)