Drug Toxicology Monitoring Alcohol Metabolites, with Confirmation, Urine

Test Code
90418


Includes
If Screen is Positive, a confirmation will be performed at an additional charge (CPT code(s): 80321 HCPCS: G0480).


Preferred Specimen
1 mL random urine in a sterile leak-proof container


Minimum Volume
0.5 mL


Instructions
Avoid contact with ethanol, disinfectants, swabs


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 30 days


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


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

Setup Schedule
Sets up 3 days a week.


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.




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.