EVEROLIUMS

Test Code

LAB8415 (MISCELLANEOUS)

CPT Codes
80169

Preferred Specimen

1 Lavender tube (EDTA)

Patient Preparation
Draw specimen before the next dose. This test is not performed on the weekend.

Minimum Volume

0.5 mL (1 mL optimal)

Instructions

DO NOT CENTRIFUGE.

Transport Container

Lavender tube

Transport Temperature

Refrigerate

Specimen Stability

15-30°C up to 24 hours
2-8°C up to 2 weeks
Frozen up to 2 weeks

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Serum or plasma samples will be rejected. Send whole blood only.

Methodology
Quantitative High Performance Liquid Chromotography Tandem Mass Spectrometry (LC/MS/MS)

Setup Schedule

M, T, W, Th, F

Batched; day shift only. STAT testing is not available

Limitations

Assay performed by liquid chromatography tandem mass spectrometry. This test was developed, and its performance characteristics determined, by Alverno Laboratories. It has not been cleared or approved by the U.S. Food and Drug administration (FDA). The FDA has determined that such clearance or approval is not necessary. This test is used for clinical purposes.

Reference Range

Therapeutic Range:

Liver and renal transplantation: 3 - 8 ng/mL
Tuberous sclerosis complex associated partial onset seizures and subependymal giant cell astrocytome (SEGA): 5 - 15 ng/mL

Clinical Significance

Optimize drug therapy and monitor patient adherence.

Performing Laboratory
Alverno Central Lab

The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.