Test Summary Sheet for:

Purpose
Overexposure/Poisoning Determination
Method(s)
Colorimetry (C)
Gas Chromatography/Mass Spectrometry (GC/MS)
Ion Chromatography (IC)
Suggested CPT Code(s)
82570
83921
84430
New York State Approval Status

Approved

Turnaround Time

8 days (If Positive: 12 days)

Test Includes
1 Formic Acid Formate Gas Chromatography/Mass Spectrometry (GC/MS) mcg/mL 0.5 Environmental/Occupation Toxin
2 Formic Acid (Creatinine corrected) Formate Gas Chromatography/Mass Spectrometry (GC/MS) mg/g Creat Environmental/Occupation Toxin
3 Thiocyanate Ion Chromatography (IC) mcg/mL 1 Environmental/Occupation Toxin
4 Thiocyanate (Creatinine corrected) Ion Chromatography (IC) mg/g Creat Environmental/Occupation Toxin
5 Creatinine Colorimetry (C) mg/L 100 Biological Marker (Renal)

Reflex Tests
Test Code Test Name
6022U Specific Gravity Confirmation, Urine
Specimen Type
Urine
Requested Volume
4 mL
Minimum Volume
1.8 mL
Special Handling
Freeze immediately and ship with dry ice.
Specimen Container
Plastic container (preservative-free)

Additional Collection Instructions

Transport Temperature
Frozen
Light Protection
Not Required
Rejection Criteria
Received Room Temperature. Received Refrigerated.

Rejection criteria pertain to clinical specimen submissions only.

Stability
Room Temperature: Not Stable
Refrigerated: Not Stable
Frozen (-20 °C): 3 month(s)
1 Formic Acid Formate Gas Chromatography/Mass Spectrometry (GC/MS) mcg/mL 0.5 Environmental/Occupation Toxin
2 Formic Acid (Creatinine corrected) Formate Gas Chromatography/Mass Spectrometry (GC/MS) mg/g Creat Environmental/Occupation Toxin
3 Thiocyanate Ion Chromatography (IC) mcg/mL 1 Environmental/Occupation Toxin
4 Thiocyanate (Creatinine corrected) Ion Chromatography (IC) mg/g Creat Environmental/Occupation Toxin
5 Creatinine Colorimetry (C) mg/L 100 Biological Marker (Renal)

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.