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

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)