ETHANOL PLASMA OR SERUM
General Information
HLAB/HOL Code: ALC
UPHSM LIS Test #: 201
Schedule: Daily
Testing Time: 10 min
Testing Lab: UP Health System-Marquette
UPHSM LIS Test #: 201
Schedule: Daily
Testing Time: 10 min
Testing Lab: UP Health System-Marquette
Specimen Info
Only 1 specimen type required, unless otherwise specified
Volume: 0.5 ml (plasma)
Temperature: Refrigerate
Tube Type: 1 grey-top (oxalate fluoride) tube
Collection Info:
Refrigerate specimen after collection. Serum is acceptable; minimize exposure to air.
Temperature: Refrigerate
Tube Type: 1 grey-top (oxalate fluoride) tube
Collection Info:
Refrigerate specimen after collection. Serum is acceptable; minimize exposure to air.
Volume: 0.5 ml (serum)
Temperature: Refrigerate
Tube Type: 1 Red Top (Plain)
Collection Info:
Refrigerate specimen after collection.
Temperature: Refrigerate
Tube Type: 1 Red Top (Plain)
Collection Info:
Refrigerate specimen after collection.
Methods
Colorimetric
CPT Codes
G6040
* The CPT codes provided 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 payer being billed.
Reference Range
Negative
>100 mg/dL (intoxicated)
>300 mg/dL (potentially fatal)
>100 mg/dL (intoxicated)
>300 mg/dL (potentially fatal)