Quantitative Volatile Screen plus Ethylene Glycol : 1002611

Message
Call Client Services to schedule testing and courier arrangements for this test.

Do not prepare the site of venipuncture with alcohol.

Test Code
QVSC or 1002611

Alias/See Also
Volatiles; Ethylene glycol; Ethanol; Methanol; Acetone; Isopropanol; Alcohol; Antifreeze

CPT Codes
80320

Instructions
Plain red top tube (Min. 4 mL blood) (Do not prepare the site of venipuncture with alcohol).

Transport Container
Do not open the red top blood tube prior to transport to the laboratory (preferred). Transport STAT. Alternately, a serum aliquot (Min. 0.4 mL) may be sent. After centrifuging, aliquot serum immediately into a standard transport tube upon opening the red top tube. Minimize exposure to the air. Pediatric collection: 0.2 mL.

Transport Temperature
Red top tube (or serum): Refrigerated.

Specimen Stability
Unopened sample: Ambient: Unacceptable; Refrigerated: 8 hours: Frozen: Unacceptable

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Older than 8 hours.

Methodology
Gas Chromatography

Setup Schedule
Sunday - Saturday

Report Available
4 hours-1 day

Limitations
This test was developed and its performance characteristics determined by med fusion. It has not been cleared or approved by the U.S. Food and Drug Administration (FDA). The FDA has determined that such clearance or approval is not necessary. This test
is used for clinical purposes. It should not be regarded as investigational for research. This laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) as qualified to perform high complexity clinical laboratory testing.

Reference Range
Not detected

Detection Limits:

Ethanol: 10 mg/dL
Methanol: 10 mg/dL
Isopropanol: 10 mg/dL
Acetone: 10 mg/dL
Ethylene glycol: 10 mg/dL
These tests are intended for clinical use only.

Clinical Significance
Detection of volatiles

Performing Laboratory
med fusion



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.