Test Details

Mnemonic

ETOHF

CPT-4 Code(s)

80320 (G0480)

Specimen Information

Patient Preparation

Specimen must be collected as a Chain of Custody, and accompanied by a Warde Chain of
Custody requisition.

Collect

Gray sodium fluoride. Use non-alcohol swabs during collection.

Specimen Preparation

Send 5.0 mL whole blood, refrigerated. Do not remove cap from collection tube. Follow Chain of
Custody collection protocol.

Alternate Specimen

Serum from Red top, green sodium or lithum heparin

Minimum Volume

1.0 mL

Transport Temperature

Refrigerated

Rejection Criteria

Serum separator tube (SST), any tubes containing gel

Stability

Room temperature: 48 hours
Refrigerated: 7 days
Frozen: Whole blood: Unacceptable; Plasma/Serum/Urine: 30 days

Methodology

Gas Chromatography/Flame Ionization Detector
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Reference Range

Decision Level: 10 mg/dL
Low toxic: >300 mg/dL
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Performing Laboratory

Warde Medical Laboratory
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New York DOH Approval Status

No
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