Drug Monitoring, Alcohol Metabolite, with Confirmation, Urine

Test Code
ETOHCONFR/U


Quest Code
39366


CPT Codes
80307

Includes
If you require medMATCH for this order code, you must also order code 39158 - Prescribed Drugs, medMATCH®. If 39158 is ordered, all Drug Monitoring order codes will be treated as medMATCH.

If this test code is not ordered with 39158, all medMATCH result codes will be DNR’d.
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Initial screen of the Alcohol Metabolites drug class. If screen is positive, a confirmation will be performed at an additional charge (CPT code(s): 80321 HCPCS: G0480).
Confirmation includes the following analytes: Ethyl Glucuronide (ETG), Ethyl Sulfate (ETS)


Preferred Specimen
20 mL urine in a clinical drug test transport vial


Minimum Volume
7 mL


Other Acceptable Specimens
Urine collected in urine collection container


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 14 days
Refrigerated: 14 days
Frozen: 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Preserved samples


Methodology
Screen: Immunoassay (IA) • Confirmation: Mass Spectrometry (MS)

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Sets up 3 days a week.


Report Available
Reports in 3 to 9 days.


Reference Range
Alcohol Metabolites <500 ng/mL
  Ethyl Glucuronide (EtG) <500 ng/mL
  Ethyl Sulfate (EtS) <100 ng/mL


Clinical Significance
Ethyl glucuronide and ethyl sulfate are metabolites of ethanol (alcohol) that may be present in urine after ingestion of, or exposure to, drinks, foods, medication or other products containing ethyl alcohol. Incidental exposure to alcohol-containing products such as mouthwash or hand sanitizer have also been shown to produce positive alcohol metabolites test results. LC-MS/MS testing detects EtG and EtS regardless of the source. Therefore, we encourage you to interpret alcohol metabolite test results in light of the clinical picture.


Performing Laboratory
Quest Diagnostics Valencia Nichols Institute
27027 Tourney Road
Valencia, CA 91355-5386



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.