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

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.
Volume: 0.5 ml (serum)
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)