Inactivated/Replace Test

Effective Date

04/22/2024

Inactivated Test Details

Mnemonic

PETHQ

Ordering Code

3600311

CPT-4 Codes(s)

80321 (G0480)

Replacement Test Details

Mnemonic

PETCB

Ordering Code

3800363

CPT-4 Codes(s)

80321 (G0480)

Turnaround Time
4 - 7 days
Performed
Saturday - Sunday
Legacy Code
PETCB
Example Report

Specimen Information

Collect

Lavender EDTA

Specimen Preparation

Send 1.0 mL whole blood in the original tube. Do not aliquot. Do not centrifuge. Do not use alcohol to clean arm. Use alternative such as Betadine to cleanse arm before collecting any specimen.

Minimum Volume

0.5 mL

Transport Temperature

Frozen

Rejection Criteria

Gross lipemia, Gross icterus, Serum separator tube (SST), Red top, light blue sodium citrate,
yellow ACD or SPS

Stability

Room temperature: Unacceptable
Refrigerated: 14 days
Frozen: 28 days

Methodology

Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)
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Reference Range

Negative (<10 ng/mL)
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Performing Laboratory

MAYO
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New York DOH Approval Status

Yes
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