Purpose
Exposure Monitoring/Investigation; Overexposure/Poisoning Determination; Forensic Analysis
Method(s)
Colorimetry (C)
Enzymatic Assay (EZA)
Gas Chromatography (GC)
Headspace Gas Chromatography (GC)
High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)
Inductively Coupled Plasma/Mass Spectrometry (ICP/MS)
Spectrophotometry (SP)
Suggested CPT Code(s)
80307x4
82175
82480
83050
83060
83825
83921
84255
84600x3
New York State Approval Status

Approved

Turnaround Time

8 days (If Positive: 15 days)

Test Includes
1 Cyanide CN; Hydrogen Cyanide; Potassium Cyanide High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) mcg/mL 0.05 Environmental/Occupation Toxin
2 Bromides Colorimetry (C) mcg/mL 500 Environmental/Occupation Toxin
3 Ethanol Ethyl Alcohol Headspace Gas Chromatography (GC) mg/dL 10 Hypnotic, Sedative, Volatile
4 Blood Alcohol Concentration (BAC) Headspace Gas Chromatography (GC) g/100 mL 0.01
5 Methanol Methyl Alcohol Headspace Gas Chromatography (GC) mg/dL 5 Environmental/Occupation Toxin
6 Isopropanol Isopropyl Alcohol Headspace Gas Chromatography (GC) mg/dL 5 Environmental/Occupation Toxin
7 Acetone Headspace Gas Chromatography (GC) mg/dL 5 Environmental/Occupation Toxin
11 Lead Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) mcg/dL 5 Metal/Element
8 Arsenic Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) mcg/L 5 Metal/Element
13 Selenium Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) mcg/L 20 Metal/Element
10 Thallium Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) mcg/L 0.5 Metal/Element
14 Mercury Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) mcg/L 1.5 Metal/Element
15 Trichloroacetic Acid TCA; Trichloroacetate Gas Chromatography (GC) mcg/mL 0.5 Environmental/Occupation Toxin
16 Volatiles Headspace Gas Chromatography (GC) Environmental/Occupation Toxin
17 Methane Gas Chromatography (GC) ppm (v/v) 10 Environmental/Occupation Toxin
18 Ethane Gas Chromatography (GC) ppm (v/v) 2 Environmental/Occupation Toxin
19 Propane Gas Chromatography (GC) ppm (v/v) 2 Environmental/Occupation Toxin
20 Isobutane Gas Chromatography (GC) ppm (v/v) 2 Environmental/Occupation Toxin
21 n-Butane Gas Chromatography (GC) ppm (v/v) 2 Environmental/Occupation Toxin
22 Halocarbons Gas Chromatography (GC) Environmental/Occupation Toxin
12 Bismuth Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) mcg/L 0.5 Metal/Element
9 Antimony Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) mcg/L 1 Metal/Element
23 Cholinesterase Enzymatic Assay (EZA) IU/L 200 Biological Marker (Exposure)
24 Carboxyhemoglobin COHb Spectrophotometry (SP) %Saturation 5 Biological Marker (Exposure)
25 Methemoglobin Spectrophotometry (SP) %Saturation 1 Biological Marker (Exposure)
26 Sulfhemoglobin Spectrophotometry (SP) %Saturation 2 Biological Marker (Exposure)

Test Also Known As
Marsh Gas; Rubbing Alcohol
Reflex Tests
Test Code Test Name
53250B Alcohols and Acetone Confirmation, Blood
5465B Bromine - Total Confirmation, Blood
5654B Carbon Monoxide Exposure Biouptake Confirmation, Blood
Specimen Type
Blood
Requested Volume
10 mL
Minimum Volume
10 mL
Special Handling
Clotted Blood specimens are not acceptable.
Avoid seafood consumption for 48 hours prior to sample collection. Submit in container with a non-Heparin based anticoagulant. Tubes containing Heparin based anticoagulants are not acceptable. Studies have shown that cyanide has variable instability in biological specimens and is particularly unstable in some postmortem specimens. The loss of cyanide can be minimized by shipping the sample to the laboratory for analysis as soon as possible, preferably using refrigerated transportation and preservation using sodium fluoride / potassium oxalate (grey-top tube). The potential for increases in cyanide concentrations, although rare, have also been demonstrated and may be due to microbial action. Preservation with sodium fluoride may reduce this possibility. Tubes should be filled to prevent loss of volatile compounds into headspace. Ensure that container remains tightly sealed.
Specimen Container
Gray top tube (Sodium Fluoride / Potassium Oxalate) AND Royal Blue top tube (Trace metal-free; EDTA)

Additional Collection Instructions

Transport Temperature
Refrigerated
Light Protection
Not Required
Rejection Criteria
Plastic container. Light Green top tube (Lithium Heparin). Tan top tube - glass (Sodium Heparin). Royal Blue top tube (Trace metal-free; Sodium Heparin). Gray top tube (Sodium Fluoride / Potassium Oxalate). Green top tube (Sodium Heparin). Lavender top tube (EDTA).

Rejection criteria pertain to clinical specimen submissions only.

Stability
Room Temperature: Undetermined
Refrigerated: Undetermined
Frozen (-20 °C): Undetermined
1 Cyanide CN; Hydrogen Cyanide; Potassium Cyanide High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) mcg/mL 0.05 Environmental/Occupation Toxin
2 Bromides Colorimetry (C) mcg/mL 500 Environmental/Occupation Toxin
3 Ethanol Ethyl Alcohol Headspace Gas Chromatography (GC) mg/dL 10 Hypnotic, Sedative, Volatile
4 Blood Alcohol Concentration (BAC) Headspace Gas Chromatography (GC) g/100 mL 0.01
5 Methanol Methyl Alcohol Headspace Gas Chromatography (GC) mg/dL 5 Environmental/Occupation Toxin
6 Isopropanol Isopropyl Alcohol Headspace Gas Chromatography (GC) mg/dL 5 Environmental/Occupation Toxin
7 Acetone Headspace Gas Chromatography (GC) mg/dL 5 Environmental/Occupation Toxin
11 Lead Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) mcg/dL 5 Metal/Element
8 Arsenic Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) mcg/L 5 Metal/Element
13 Selenium Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) mcg/L 20 Metal/Element
10 Thallium Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) mcg/L 0.5 Metal/Element
14 Mercury Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) mcg/L 1.5 Metal/Element
15 Trichloroacetic Acid TCA; Trichloroacetate Gas Chromatography (GC) mcg/mL 0.5 Environmental/Occupation Toxin
16 Volatiles Headspace Gas Chromatography (GC) Environmental/Occupation Toxin
17 Methane Gas Chromatography (GC) ppm (v/v) 10 Environmental/Occupation Toxin
18 Ethane Gas Chromatography (GC) ppm (v/v) 2 Environmental/Occupation Toxin
19 Propane Gas Chromatography (GC) ppm (v/v) 2 Environmental/Occupation Toxin
20 Isobutane Gas Chromatography (GC) ppm (v/v) 2 Environmental/Occupation Toxin
21 n-Butane Gas Chromatography (GC) ppm (v/v) 2 Environmental/Occupation Toxin
22 Halocarbons Gas Chromatography (GC) Environmental/Occupation Toxin
12 Bismuth Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) mcg/L 0.5 Metal/Element
9 Antimony Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) mcg/L 1 Metal/Element
23 Cholinesterase Enzymatic Assay (EZA) IU/L 200 Biological Marker (Exposure)
24 Carboxyhemoglobin COHb Spectrophotometry (SP) %Saturation 5 Biological Marker (Exposure)
25 Methemoglobin Spectrophotometry (SP) %Saturation 1 Biological Marker (Exposure)
26 Sulfhemoglobin Spectrophotometry (SP) %Saturation 2 Biological Marker (Exposure)

Interface Map

LOINC® Information