Test Overview
Test Methodology
LC/MS/MS
Reference Range *
Peak: 0.4 - 2.0 mcg/ml, Trough: 0.14 - 1.2 mcg/ml (usual therapeutic range during chronic oral daily divided dosages of 1200 - 2400 mg).
* Reference ranges may change over time. Please refer to the original patient report when evaluating results.
Test Details
Days Set Up
Monday - Sunday
Analytic Time
7 - 13 days
Soft Order Code
FACYS
MiChart Code
Acyclovir (Zovirax) Level
Synonyms
- Zovirax
- Acycloguanosine
Laboratory
Sendout
Reference Laboratory
Mayo FACYS (NMS 0158SP)
Section
Special Testing
Specimen Requirements
Collection Instructions
Collect specimen in lavender or red top tube; do not use SST/PST tube. Centrifuge, aliquot plasma or serum into a plastic vial and refrigerate.
Alternate Specimen
Urine is an acceptable specimen (2 mL). [10/03]
Storage Temperature
Refrigerated preferred, Ambient or frozen acceptable
Rejection Criteria
SST or PST tube not acceptable.
Additional Information
Test sent to Mayo Medical Laboratories; performed by NMS Labs.
Billing
CPT Code
80299
Fee Code
AA470
NY State Approved
No