Last Modified:
3/25/2019 2:31:52 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
4.0 mL Whole Blood in a Green Top Tube - Li Heparin
Collection Instructions:
Use Betadine or Zephiran as a skin preparation for drawing specimen
Do not use alcohol or alcohol containing solutions as a skin preparation for drawing specimen
Do not use Chloraprep Swabs for skin preparation
No Chain of Custody
Do not centrifuge or open specimen
Do not collect in Serum Separator Tube (SST or PST)
Minimum Volume:
0.5 mL
Transport & Storage: Temperature/Stability:
7 days Refrigerated
Reference Range:
Not Detected
Critical Ranges:
> 0.30 g %
Test Comments:
Methodology:
Enzymatic
Clinical Significance:
Documentation:
For Personal or Treatment Center use; Not for Legal Use
Custom Panel:
No
PRODUCTION SCHEDULE
Stat Eligible:
Yes
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Warsaw , Parkview Whitley
PHL Test Code:
ALC
EPIC Test Code:
LAB46
Alternate Test Names:
Alcohol; BA; Blood Alcohol Level; Ethanol; ETOH
Included Tests:
CPT Coding:
80320
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