SIROLIMUS

General Information

HLAB/HOL Code: SIRO
UPHSM LIS Test #: 815
Schedule: Monday - Saturday
Testing Time: 1-2 days
Testing Lab: Warde Medical Laboratories

Specimen Info
Only 1 specimen type required, unless otherwise specified

Volume: 1.0 mL Whole Blood
Temperature: Refrigerate
Tube Type: Whole Blood EDTA
Collection Info:

Methods

LC/MS/MS

CPT Codes

80195

* The CPT codes provided 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 payer being billed.

Reference Range

4- 12 ng/mL

The therapeutic range is for a trough specimen from a kidney
transplant patient who is also receiving cyclosporine. The
range may vary for other situations.