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HelpTest Code ETOH ETHANOL, SERUM
Additional Codes
| Software | Test Code |
|---|---|
| Label Text | ETOH |
| EPIC | LAB46 |
Performing Laboratory
NorDx Laboratories
Useful For
Detection of ethanol in plasma or serum to document prior consumption or administration of ethanol. Quantitation of the concentration of ethanol in serum correlates directly with the degree of toxicity.
Method Name
Spectrophotometry (SP)
Reference Values
Limit of Detection = 10 mg/dL.
Potentially toxic > 400 mg/dL.
Legal limit of intoxication in Maine is > 80 mg/dL (0.08%). Test is intended for use in clinical monitoring and management of patients only.
Days and Times Test Performed
Monday through Sunday
Report Available
1 Day
Available Stat
Specimen Type
Submit one of the following:
~ Plasma
~ Serum
Preferred Container
Plasma Separator Tube (PST)
Serum Separator Tube (SST)
Preferred Volume
Plasma: 1 mL (Plasma Separator Tube (PST))
Serum: 1 mL (Serum Separator Tube (SST))
Minimum Volume
Plasma: 0.5 mL (Plasma Separator Tube (PST))
Serum: 0.5 mL (Serum Separator Tube (SST))
Specimen Collection and Handling
1. Alcohol should not be used to prepare the venipuncture site.
2. Betadine® or other antiseptics that do not contain alcohol should be used.
3. Spin specimen, separate from clot and deliver to lab as soon as possible.
4. Send frozen in plastic vial on dry ice if specimen is sent via courier.
Specimen Stability Information
Specimen Type: Plasma
Frozen: 3 Months
Refrigerated: 2 Days
Must be spun/separated within: 2 Hours
Specimen Type: Serum
Frozen: 3 Months
Refrigerated: 2 Days
Must be spun/separated within: 2 Hours
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 |
|---|---|---|
| 80320 | Alcohols | 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
ALCOHOL, BLOOD
ALCOHOL, ETHYL
ETHANOL, BLOOD
ETHYL ALCOHOL
ETOH (ETHANOL)
Performing Laboratory Location
NorDx Laboratories
LOINC Code Information
5643-2
Acceptable Alternative Container(s)
Red Top Tube