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92141: Drug Toxicology Monitoring Alcohol Metabolites, with Confirmation, Urine Print View
Ethyl Glucuronide (ETG) MS  < 500  ng/mL 
ETHYL SULFATE (ETS) MS  < 100  ng/mL 

PRIMARY
1 Urine 1 (0.5) mL   Frozen - 30 Day(s)/Refrigerated - 7 Day(s)/Room Temperature - 7 Day(s)  
ALTERNATE

Ethylglucuronide (EtG) and Ethylsulfate (EtS) are metabolites of ethanol. While EtG has been used as a long-term biomarker in urine testing for more than 7 years, EtS has more recently been incorporated into testing programs. Scientific literature indicates that EtG may be detectable for up to 80 hours and that EtS may be detectable for 24 hours or more after ethanol ingestion - depending on cutoff, metabolism, and usage patterns. Under certain conditions, in-vitro (outside of the body, in the specimen container) formation of EtG may also occur when certain bacteria and ethanol or ethanol-producing bacteria are both present in a urine specimen. No published reports of in-vitro synthesis of EtS exist, however, even under the same conditions in which EtG may be synthesized in-vitro. EtS is typically present in urine at a lower concentration than EtG, although the ratio of EtG to EtS varies significantly between individuals donors. In order to be reported positive for EtG, Quest Diagnostics' clinical reporting criteria require that EtS be present in a specimen at a minimum concentration of 100 ng/mL whenever EtG is present at a concentration greater than or equal to 500 ng/mL. As with EtG, the presence of EtS in a urine specimen does not establish the source of the ethanol containing product and the possibility of "incidental exposure" and post-collection specimen changes needs to be considered when interpreting results. EtG and EtS testing, as with any controlled substance testing, measure only the presence and concentration of EtG (or EtS) in a given urine specimen. Quest Dianostics recommends clinical correlation and/or healthcare provider review when interpreting EtG and EtS results.
Setup Schedule
Tuesday-Saturday

Reported (Analytical Time)
Same day

CPT Code
80321

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.

Notes
Transport Temperature: Room temperature






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