Last Modified:
2/15/2024 2:02:34 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
3.0 mL Whole Blood in a Lavender Top Tube - EDTA
Collection Instructions:
Drug regimens, time and date of drug administration are to be noted on requisition. Therapeutic range applies to trough specimens drawn just before a.m. dose
Optimal time to draw specimen: 0.5-1 hour before next oral dose.
Whole Blood collected in lavender top tube must fill at least 1/3 of the collection tube.
Specimen must be kept capped before tested and needs to be tested within 30 minutes of the cap being open
Transport & Storage: Temperature/Stability:
7 days Ambient
7 days Refrigerated (prefered)
2 months Frozen
Rejection Criteria:
Clotted specimen or gel barrier tube
Reference Range:
5.0 - 20.0 ng/ml
Critical Ranges:
Test Comments:
Methodology:
Electrochemiluminescence Immunoassay (ECLIA)
Clinical Significance:
Tacrolimus (FK 506) is an immunosuppresive drug used in organ transplantation to prevent graft rejection.Therapeutic drug monitoring is useful to optimize dose and avoid toxicity.
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
1 to 2 days
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Regional Medical Center
PHL Test Code:
PROGF
EPIC Test Code:
IMO477
Alternate Test Names:
FK506; Prograf; Tacrolimus
Included Tests:
CPT Coding:
80197
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