Drug Monitoring Assess Panel, Volatiles, Urine

Test Code

11877

CPT Codes
80320 (HCPCS: G0480)

Includes

Acetone
Ethanol
Isopropanol
Methanol

Preferred Specimen

2 mL random urine in a plastic urine container

Minimum Volume

1 mL

Transport Temperature

Room temperature

Specimen Stability

Room temperature: 14 days
Refrigerated: 21 days
Frozen: 30 days

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

Preserved urine

Methodology
Chromatography

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

Set up Daily; Report available: 1-2 days

Clinical Significance

Ethanol is the most commonly abused substance whose primary effect on the central nervous system varies with blood concentration. Not all individuals experience the same effects at a given blood level. Additionally, other central nervous system depressants can have an additive effect when taken in combination with ethanol. Approximately 5% of ethanol is excreted unchanged in urine. A positive urine ethanol result may suggest recent ethanol exposure and/or consumption; however, in diabetic patients with a urinary tract infection, ethanol is commonly present in urine as a result of glucose fermentation by yeast in the urine. When fermentation is not suspected, and urine ethanol is adjusted by a sample's creatinine concentration, urine ethanol may be used to estimate blood ethanol concentrations, as urine ethanol concentrations are approximately 130% of blood concentrations, if the patient is in the elimination phase. Caution should be exercised with interpretation of urine ethanol results; it is not recommended that a clinical decision be based solely on a urine ethanol result as there are several different scenarios that may have yielded the result.

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.