Tacrolimus by LC-MS/MS

General Information

Lab Name
Tacrolimus by LCMSMS
Lab Code
TACROG
Epic Name
Tacrolimus Level
Description

The concentration of tacrolimus in whole blood is determined by liquid chromatography-tandem mass spectrometry after protein precipitation. The reportable range is 1.0 to 195.0 ng/mL with imprecision between 4 and 7 %CV.

Synonyms
F506, FK506, PROGRAF, TACRO
Components

Interpretation

Method

Whole blood protein precipitation. Analysis by liquid chromatography - tandem mass spectrometry.

Reference Range
See individual components
Ref. Range Notes

A broad consensus therapeutic range for 12-hour trough tacrolimus concentrations is 5-20 ng/mL. Other target ranges may be specified by various protocols, depending on type of transplant, time since transplant, concomitant immunosuppressive therapy and sampling time.

Ordering & Collection

Specimen Type
whole blood
Collection

3 mL blood in a LAVENDER TOP tube. Trough specimen preferred.

Quantity
Requested: entire sample
Minimum: 1.5 mL whole blood for 3 mL Lavender Liquid EDTA (K3 EDTA); 0.5 mL whole blood for 3 mL Lavender Dry EDTA (K2 EDTA)

Processing

Receiving Instructions

Refrigerate whole blood, do not spin Frozen sample acceptable - Do not repeat freeze-thaw cycle

Outside Laboratories: transport specimen at 2-8°C

Stability: Room Temp: 2 d; Refrig: 5 d

Misc Sendout

Performance

Lab Department
Chemistry, University(CHU)
Frequency
Daily, specimens in UW Chemistry lab by 1:00pm results by 4:30pm
Available STAT?
No
Performing Location(s)
UW-MT Chemistry, Special
206-520-4600

Clinical Lab, Room NW220,
University of Washington Medical Center,
1959 NE Pacific street, Seattle, WA 98195

Billing & Coding

CPT Codes
80197
LOINC
74097-7
Interfaced Order Code
UOW2752