Test Summary Sheet for:

Purpose
Overexposure/Poisoning Determination
Method(s)
Gas Chromatography (GC)
Headspace Gas Chromatography (GC)
Suggested CPT Code(s)
84600x2
New York State Approval Status

Approved

Turnaround Time

8 days

Test Includes
1 Acetone Headspace Gas Chromatography (GC) mg/dL 0.5 Environmental/Occupation Toxin
2 n-Butanol Butyl Alcohol; Butyl Nitrite Metabolite Headspace Gas Chromatography (GC) mcg/mL 2 Environmental/Occupation Toxin
3 Amyl Alcohol Amyl Nitrite Metabolite Headspace Gas Chromatography (GC) mcg/mL 2 Environmental/Occupation Toxin
4 Isobutanol Iso-Butyl Nitrite Metabolite; Isobutyl Alcohol Headspace Gas Chromatography (GC) mcg/mL 2 Environmental/Occupation Toxin
5 Iso-Amyl Alcohol Iso-Amyl Nitrite Metabolite Headspace Gas Chromatography (GC) mcg/mL 2 Environmental/Occupation Toxin
6 Benzene Headspace Gas Chromatography (GC) mcg/mL 0.05 Environmental/Occupation Toxin
7 Ethanol Ethyl Alcohol; Metabolite of Ethyl Acetate Headspace Gas Chromatography (GC) mg/dL 5 Hypnotic, Sedative, Volatile
8 Ethyl Ether Diethyl Ether Headspace Gas Chromatography (GC) mcg/mL 1 Environmental/Occupation Toxin
9 Heptane Headspace Gas Chromatography (GC) mcg/mL 2 Environmental/Occupation Toxin
10 Hexane Headspace Gas Chromatography (GC) mcg/mL 2 Environmental/Occupation Toxin
11 Isopropanol Isopropyl Alcohol Headspace Gas Chromatography (GC) mg/dL 1 Environmental/Occupation Toxin
12 Methanol Methyl Alcohol Headspace Gas Chromatography (GC) mg/dL 5 Environmental/Occupation Toxin
13 Methyl Ethyl Ketone MEK Headspace Gas Chromatography (GC) mcg/mL 0.3 Environmental/Occupation Toxin
14 Pentane Headspace Gas Chromatography (GC) mcg/mL 2 Environmental/Occupation Toxin
15 Styrene Headspace Gas Chromatography (GC) mcg/mL 0.5 Environmental/Occupation Toxin
16 Toluene Headspace Gas Chromatography (GC) mcg/mL 0.3 Environmental/Occupation Toxin
17 o-Xylene Headspace Gas Chromatography (GC) mcg/mL 0.3 Environmental/Occupation Toxin
18 m-Xylene Headspace Gas Chromatography (GC) mcg/mL 0.3 Environmental/Occupation Toxin
19 p-Xylene Headspace Gas Chromatography (GC) mcg/mL 0.3 Environmental/Occupation Toxin
20 Methane Gas Chromatography (GC) ppm (v/v) 10 Environmental/Occupation Toxin
21 Ethane Gas Chromatography (GC) ppm (v/v) 2 Environmental/Occupation Toxin
22 Propane Gas Chromatography (GC) ppm (v/v) 2 Environmental/Occupation Toxin
23 Isobutane Gas Chromatography (GC) ppm (v/v) 2 Environmental/Occupation Toxin
24 n-Butane Gas Chromatography (GC) ppm (v/v) 2 Environmental/Occupation Toxin

Specimen Type
Blood
Requested Volume
4 mL
Minimum Volume
1.9 mL
Special Handling
Collect sample using alcohol free skin preparation. Ensure that container remains tightly sealed.
Specimen Container
Gray top tube (Sodium Fluoride / Potassium Oxalate)

Additional Collection Instructions

Transport Temperature
Refrigerated
Light Protection
Not Required
Rejection Criteria
None

Rejection criteria pertain to clinical specimen submissions only.

Stability
Room Temperature: Undetermined
Refrigerated: Undetermined
Frozen (-20 °C): Undetermined
1 Acetone Headspace Gas Chromatography (GC) mg/dL 0.5 Environmental/Occupation Toxin
2 n-Butanol Butyl Alcohol; Butyl Nitrite Metabolite Headspace Gas Chromatography (GC) mcg/mL 2 Environmental/Occupation Toxin
3 Amyl Alcohol Amyl Nitrite Metabolite Headspace Gas Chromatography (GC) mcg/mL 2 Environmental/Occupation Toxin
4 Isobutanol Iso-Butyl Nitrite Metabolite; Isobutyl Alcohol Headspace Gas Chromatography (GC) mcg/mL 2 Environmental/Occupation Toxin
5 Iso-Amyl Alcohol Iso-Amyl Nitrite Metabolite Headspace Gas Chromatography (GC) mcg/mL 2 Environmental/Occupation Toxin
6 Benzene Headspace Gas Chromatography (GC) mcg/mL 0.05 Environmental/Occupation Toxin
7 Ethanol Ethyl Alcohol; Metabolite of Ethyl Acetate Headspace Gas Chromatography (GC) mg/dL 5 Hypnotic, Sedative, Volatile
8 Ethyl Ether Diethyl Ether Headspace Gas Chromatography (GC) mcg/mL 1 Environmental/Occupation Toxin
9 Heptane Headspace Gas Chromatography (GC) mcg/mL 2 Environmental/Occupation Toxin
10 Hexane Headspace Gas Chromatography (GC) mcg/mL 2 Environmental/Occupation Toxin
11 Isopropanol Isopropyl Alcohol Headspace Gas Chromatography (GC) mg/dL 1 Environmental/Occupation Toxin
12 Methanol Methyl Alcohol Headspace Gas Chromatography (GC) mg/dL 5 Environmental/Occupation Toxin
13 Methyl Ethyl Ketone MEK Headspace Gas Chromatography (GC) mcg/mL 0.3 Environmental/Occupation Toxin
14 Pentane Headspace Gas Chromatography (GC) mcg/mL 2 Environmental/Occupation Toxin
15 Styrene Headspace Gas Chromatography (GC) mcg/mL 0.5 Environmental/Occupation Toxin
16 Toluene Headspace Gas Chromatography (GC) mcg/mL 0.3 Environmental/Occupation Toxin
17 o-Xylene Headspace Gas Chromatography (GC) mcg/mL 0.3 Environmental/Occupation Toxin
18 m-Xylene Headspace Gas Chromatography (GC) mcg/mL 0.3 Environmental/Occupation Toxin
19 p-Xylene Headspace Gas Chromatography (GC) mcg/mL 0.3 Environmental/Occupation Toxin
20 Methane Gas Chromatography (GC) ppm (v/v) 10 Environmental/Occupation Toxin
21 Ethane Gas Chromatography (GC) ppm (v/v) 2 Environmental/Occupation Toxin
22 Propane Gas Chromatography (GC) ppm (v/v) 2 Environmental/Occupation Toxin
23 Isobutane Gas Chromatography (GC) ppm (v/v) 2 Environmental/Occupation Toxin
24 n-Butane Gas Chromatography (GC) ppm (v/v) 2 Environmental/Occupation Toxin

Interface Map

LOINC® Information

The CPT Codes provided in this document are based on AMA Guidelines and are for informational purposes only. NMS Labs Does not assume responsibility for billing errors due to Reliance on the CPT Codes listed in this document.

*The information contained in this document represents database configurations, as they will appear on the effective date listed above.