Sirolimus, Blood Test (4193B)

Analysis Code 4193B 
Test Name Sirolimus, Blood 
Test Includes Sirolimus [LC-MS/MS] 
Compound Synonym(s) Rapamune® Rapamycin 
Purpose Therapeutic Drug Monitoring 
Category Immunosuppressant 
Method(s) High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS) 
Specimen Requirements 1 mL Blood 
Transport Temperature Refrigerated 
Specimen Container Lavender top tube (EDTA) 
Special Handling Draw trough specimen. 
Light Protection Required Not Required 
Stability Room Temperature: 1 month(s) Refrigerated: 1 month(s) Frozen (-20 °C): 1 month(s) 
Rejection Criteria None 
Day(s) Test Set-up [LC-MS/MS] Monday-Friday 2nd Shift 2 days 
Suggested CPT Code [LC-MS/MS] 80195 

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