Test Summary Sheet for:

Purpose
Perinatal Drug Testing; Drug of Abuse Monitoring; Exclusion Screen; The presence of EtG in umbilical cord tissue suggests maternal exposure to ethanol, but the route of exposure (e.g., transdermal vs. oral) cannot be determined
Method(s)
High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)
Suggested CPT Code(s)
80307
New York State Approval Status

Approved

Turnaround Time

2 days (If Positive: 3 days)

Test Includes
1 Ethyl Glucuronide EtG; Ethanol Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 5 Ethanol Metabolite

Test Also Known As
Neonatal
Reflex Tests
Test Code Test Name
52364UC Ethyl Glucuronide Confirmation (Qualitative), Umbilical Cord Tissue
Specimen Type
Umbilical Cord
Requested Volume
10 g
Minimum Volume
10 g
Special Handling
Ensure sample is not exposed to ethanol-containing vapors or liquids during collection and storage. Collect at least 6 inches of umbilical cord (approximately the length of an adult hand). Drain and discard any blood. Rinse the exterior of the cord segment with normal saline or sterile water. Pat the cord dry and place in container for transport. Store at refrigerated temperature.
Unacceptable Specimens: Cords soaking in blood or other fluid. Formalin fixed. Tissue that is obviously decomposed. Samples received without cold pack.
Specimen Container
Plastic container (preservative-free)

Additional Collection Instructions

Transport Temperature
Refrigerated
Light Protection
Not Required
Rejection Criteria
None

Rejection criteria pertain to clinical specimen submissions only.

Stability
Room Temperature: 7 day(s)
Refrigerated: 7 day(s)
Frozen (-20 °C): 7 day(s)
1 Ethyl Glucuronide EtG; Ethanol Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 5 Ethanol Metabolite

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.