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Phosphatidylethanol Confirmation, Blood

Additional Codes

Orderable Codes:

Epic Code Atlas Code Mayo Test ID Order LOINC
LAB17785 LAB17785 PETH 101506-4

Result Component(s):

Reporting Name Epic Code Atlas Code Mayo Test ID Result LOINC
PEth 16:0/18:1 (POPEth) by LC-MS/MS 12301020825 M617481 617481 97607-6
PEth 16:0/18:2 (PLPEth) by LC-MS/MS 12301020826 M617482 617482 97606-8
PEth Interpretation 12301020827 M617483 617483 69050-3

 


Specimen Required


Container/Tube: Lavender top (EDTA)

Specimen Volume: 1 mL

Collection Instructions:

1. Do not use alcohol to clean arm. Use alternative (such as Betadine, also known as Povidone Iodine) to cleanse site before specimen collection.

2. Draw blood in tubes smaller than 10 mL if possible.

3. Do not centrifuge.

4. Send whole blood specimen in original tube. Do not aliquot.


Useful For

Verifying abstinence or use of ethanol, especially in liver transplant candidates/patients

Method Name

Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS)

Reporting Name

Phosphatidylethanol Confirmation, B

Specimen Type

Whole Blood EDTA

Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time
Whole Blood EDTA Frozen (preferred) 28 days
  Refrigerated  14 days

Reject Due To

Gross lipemia OK
Gross icterus OK

Reference Values

Negative (<10 ng/mL)

 

Cutoff concentrations by liquid chromatography tandem mass spectrometry:

PEth 16:0/18:1 (POPEth): 10 ng/mL

PEth 16:0/18:2 (PLPEth): 10 ng/mL

Day(s) Performed

Monday through Sunday

Report Available

2 to 5 days

Specimen Retention Time

14 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

G0480

80321 (if appropriate for select payers)

LOINC Code Information

Test ID Test Order Name Order LOINC Value
PETH Phosphatidylethanol Confirmation, B 101506-4

 

Result ID Test Result Name Result LOINC Value
617481 PEth 16:0/18:1 (POPEth) by LC-MS/MS 97607-6
617482 PEth 16:0/18:2 (PLPEth) by LC-MS/MS 97606-8
617483 PEth Interpretation 69050-3

NY State Approved

Yes

Forms

If not ordering electronically, complete, print, and send 1 of the following with the specimen:

-Therapeutics Test Request (T831)

-General Test Request (T239)

-Renal Diagnostics Test Request (T830)