Ethchlorvynol (Placidyl®)(ETCHV)

Test Code

Quest Code

CPT Codes
80320 (HCPCS: G0480)

Preferred Specimen
3 mL serum in plain red top tube

Other Acceptable Specimens
3 mL plasma

Promptly centrifuge and separate serum or plasma into a plastic screw-cap vial

Transport Container
Transport tube

Transport Temperature
Room temperature

Specimen Stability
Room temperature: 14 days
Refrigerated: 12 months
Frozen: 12 months

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Serum Separator Tube (SST®)

Gas Chromatography (GC)

Setup Schedule

Performing Laboratory
NMS Labs
200 Welsh Road
Horsham, PA 19044

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.