Patient Preparation

Pre-dose (trough) levels should be drawn.

Tacrolimus and Sirolimus are assayed simultaneously.

Collect

Lavender (EDTA) - 3 mL whole blood

Storage/Transport Temperature

Refrigerated/Room Temperature

Unacceptable Conditions

Serum, plasma or clotted specimens.

Stability (from collection to initiation)

Ambient: 14 days; Refrigerated: 14 days; Frozen: 1 month

Minimum Requirements

0.5 mL Whole Blood (EDTA)

Test Barcode Number

30998

Lab Section

Toxicology

Methodology

Liquid Chromatography-Tandem Mass Spectrometry

Test developed and characteristics determined by UR Medicine Labs

Performed

Sun-Sat, Day shift cut-off 12pm

Reported

Within 48 hours from receipt

Synonyms

  • FK506
  • Protopic
  • Prograf(R)
  • Hecoria

Performing Laboratory Website (click below)

Reference Interval

3.0 - 15.0 ng/mL

Critical value High ≥ 20ng/mL

Ranges for immunosuppressant drugs are specific to clinical protocol and published ranges may not be applicable to all patient populations. The range which follows is based upon the recommendations of the Transplant and Pharmacy services at Strong Memorial Hospital, according to the transplantation protocols in effect at that institution.

CPT Codes

80197

LOINC Mapping

11253-2

Order Type (Individual or Group)

G

Group Test Information

Result Test ID Reportable Result Test Name Result Type Type (Alpha or Numeric) Prompt Test
TACRR Y TACROLIMUS I N  

CPT Codes

80197

LOINC Mapping

11253-2

Pricing

Refer to Lab Account Manager. email: labservicesoutreach@urmc.rochester.edu
Specimen Requirements

Patient Preparation

Pre-dose (trough) levels should be drawn.

Tacrolimus and Sirolimus are assayed simultaneously.

Collect

Lavender (EDTA) - 3 mL whole blood

Storage/Transport Temperature

Refrigerated/Room Temperature

Unacceptable Conditions

Serum, plasma or clotted specimens.

Stability (from collection to initiation)

Ambient: 14 days; Refrigerated: 14 days; Frozen: 1 month

Minimum Requirements

0.5 mL Whole Blood (EDTA)

Test Barcode Number

30998

Testing

Lab Section

Toxicology

Methodology

Liquid Chromatography-Tandem Mass Spectrometry

Test developed and characteristics determined by UR Medicine Labs

Performed

Sun-Sat, Day shift cut-off 12pm

Reported

Within 48 hours from receipt

Synonyms

  • FK506
  • Protopic
  • Prograf(R)
  • Hecoria

Performing Laboratory Website (click below)

Result Interpretation

Reference Interval

3.0 - 15.0 ng/mL

Critical value High ≥ 20ng/mL

Ranges for immunosuppressant drugs are specific to clinical protocol and published ranges may not be applicable to all patient populations. The range which follows is based upon the recommendations of the Transplant and Pharmacy services at Strong Memorial Hospital, according to the transplantation protocols in effect at that institution.
Coding

CPT Codes

80197

LOINC Mapping

11253-2
URM Labs Internal
Test Build

Order Type (Individual or Group)

G

Group Test Information

Result Test ID Reportable Result Test Name Result Type Type (Alpha or Numeric) Prompt Test
TACRR Y TACROLIMUS I N  

CPT Codes

80197

LOINC Mapping

11253-2

Pricing

Refer to Lab Account Manager. email: labservicesoutreach@urmc.rochester.edu