ETHOTOIN (PEGANONE)

General Information

HLAB/HOL Code: ETN
UPHSM LIS Test #: 615
Schedule: Daily
Testing Time: 2 days
Testing Lab: MEDTOX

Specimen Info
Only 1 specimen type required, unless otherwise specified

Volume: 2.0 mL
Temperature: Refrigerate
Tube Type: 1 Red Top (Plain)
Collection Info:
SST TUBE IS NOT ACCEPTABLE.
Indicate serum on request form. Label specimen as serum.
Submit only 1 specimen.
Volume: 2.0 mL plasma
Temperature: Refrigerate
Tube Type: 1 Green Top (Sodium Heparin)
Collection Info:
PST TUBE IS NOT ACCEPTABLE.
Indicate plasma on request form. Submit only one specimen either serum or plasma.

Methods

Gas Chromatography/Flame Ionization Detection

CPT Codes

82542

* 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

8.0 - 20.0 ug/mL
The therapeutic range for ethotoin is not well established. Many patients respond well to ethotoin concentrations up to 60 ug/mL.

Test Performed By:
Medtox Laboratories, Inc.
402 W. County Road D
St. Paul, MN 55112