Ethylene Glycol (STAT Testing Only)

Message

Testing performed by Children's Mercy Laboratory, Kansas City, MO

Prerequisites for Testing Ethylene Glycol:
• Osmolality Gap. Serum Osmolality with a calculated osmolality and a calculated osmolality gap
• Basic Metabolic Panel or Comprehensive Metabolic Panel
• Arterial Blood Gases
• Urinalysis

Criteria for Sending STAT Ethylene Glycol:
• History of recent ethylene glycol ingestion is definite
• History or suspicion of ethylene glycol intoxication and at least 2 of the following are present:
     Arterial pH level <7.3
     Serum bicarbonate level <20 mEq/L
     Osmolality gap >10 mOsm/L
     Urinary oxalate crystals are present

Test Code

3981113

CPT Codes
82693

Preferred Specimen

Container/Tube: Plain, red-top tube or green-top (heparin) tube
Specimen Volume: 2 mL of whole blood
Collection Instructions: See STAT Ethylene Glycol Testing Protocol in Special Instructions.

Minimum Volume

2 mL of whole blood

Methodology
Gas Chromatography

Setup Schedule

Monday through Sunday
Turnaround time: 12 hours plus transport

Reference Range

Toxic concentration (automatic call-back): >20 mg/dL

Performed By
CoxHealth

The CPT Codes provided in this document 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 payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.