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Test Code ETGWC ETHYL GLUCURONIDE, URINE WITH CONFIRMATION REFLEX

Performing Laboratory

NorDx Laboratories

Useful For

A screening assay to detect Ethyl Glucuronide in urine.

If the Ethyl Glucuronide screen is ≥ 500 ng/mL, the Ethyl Glucuronide confirmation/quantitation by LC-MC/MS is performed at an additional charge.

For help with interpretation please call: 877-323-0045

Specific gravity, pH, creatinine and oxidants will be performed and reported at no additional charge to identify potential adulteration of the urine specimen

Method Name

Enzyme Immunoassay (EIA)

Liquid Chromatography-Tandem Mass Spectrometry (LC-MC/MS) (If indicated)

Reference Values

Not Detected

EIA cutoff concentration: 500 ng/mL

LC-MC/MS cutoff concentrations:

Ethyl Glucuronide < 500 ng/mL

Ethyl Sulfate < 200 ng/mL

Please see test code ETYGQ for additional Ethyl Glucuronide confirmatory testing information.

Days and Times Test Performed

Monday through Friday

Report Available

1 Day

Specimen Type

Urine

Preferred Container

Urine Cup

Preferred Volume

Urine: 25 mL (Urine Cup)

Minimum Volume

Urine: 10 mL (Urine Cup)

Specimen Collection and Handling

Collect random urine and send refrigerated in a clean urine container.

Specimen Stability Information

Specimen Type: Urine

Frozen: 30 Days

Refrigerated: 7 Days

Room Temp: 2 Days

Add On Capable

Yes

Advance Beneficiary Notice Requirements

This test, when ordered on Medicare patients, is subject to the National Coverage Determination (NCD) policies. Please verify that the diagnosis code (ICD code) you have chosen demonstrates medical necessity for the test as documented in the physician’s patient record. The CMS web site is available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD code chosen.

CPT Code Information

CPT Code

CPT Description

CPT Disclaimer

80307 Drug Test, Presumptive Screening, By Instrument Chemistry (i.e Immunoassay, Chromatography, and Mass Spectrometry)
80321 Alcohol Biomarkers, 1 or 2 (Definitive Drug Testing) if Indicated
G0480 Drug Test (Definitive), 1-7 Classes Government Payers, if Applicable
G0481 Drug Test (Definitive), 8-14 Classes Government Payers, if Applicable
G0482 Drug Test (Definitive), 15-21 Classes Government Payers, if Applicable
G0483 Drug Test (Definitive), 22+ Classes Government Payers, if Applicable

Keywords

ETG

Clinical Significance

Ethyl Glucuronide (EtG) is a direct metabolite of ethanol, which is formed by enzymatic conjugation of ethanol with glucuronic acid. Alcohol in urine is normally detected for only a few hours, where as EtG can be detected up to several days even after complete elimination of alcohol from the body. A value that is equal to 500 ng/ml or greater is considered a positive screen result.

This test is intended for clinical monitoring and management of patients. It is not intended for non-medical use such as employment of forensic testing.

Maximum Laboratory Time

4 Days

LOINC Code Information

45324-1