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Acyclovir, Serum or Plasma
0091328
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Ordering Recommendation
Mnemonic
ACYCLOV
Methodology
Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Performed
Varies
Reported
8-11 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
Hotline History
Date of Change
Test Name Change
Methodology
Performance/Reported Schedule
Specimen Requirements
Reference Interval
Interpretive Data
Note
CPT Code
Component Change
Other Interface Change
New Test
Inactive
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)
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