Ethylene Glycol Overexposure Profile, Serum/Plasma Test (2055SP)

Analysis Code 2055SP 
Test Name Ethylene Glycol Overexposure Profile, Serum/Plasma 
Test Includes Ethylene Glycol [GC], Formic Acid [IC], Oxalate [EZA] 
Compound Synonym(s) Antifreeze Formate Oxalic Acid 
Purpose Exposure Monitoring 
Category Poison, Solvent, Environmental/Occupation Toxin 
Method(s) Enzymatic Assay (EZA) Gas Chromatography (GC) Ion Chromatography (IC) 
Specimen Requirements 5 mL Serum or Plasma 
Transport Temperature Refrigerated 
Specimen Container Plastic container (preservative-free) 
Special Handling Promptly centrifuge and separate Serum or Plasma into a plastic screw capped vial using approved guidelines. 
Light Protection Required Not Required 
Stability Room Temperature: 2 day(s) Refrigerated: 7 day(s) Frozen (-20 °C): 7 day(s) 
Rejection Criteria Received Room Temperature. Gray top tube (Sodium Fluoride / Potassium Oxalate). Polymer gel separation tube (SST or PST). 
Day(s) Test Set-up [EZA] Tuesday Thursday 1 day [IC] Wednesday 2 days [GC] Monday 3 days 
Suggested CPT Code [IC] 83921 [EZA] 83945 [GC] 82693 

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