Test Summary Sheet for:

Purpose
Exclusion Screen
Method(s)
Gas Chromatography (GC)
Suggested CPT Code(s)
80307
New York State Approval Status

Approved

Turnaround Time

8 days (If Positive: 15 days)

Test Includes
1 2,4-D Dichlorophenoxyacetic Acid Gas Chromatography (GC) mcg/mL 0.02 Herbicide
2 2,4,5-Trichlorophenoxyacetic Acid 2,4,5-T; 2,4,5-Trichlorophenoxyacetate Gas Chromatography (GC) mcg/mL 0.02 Herbicide
3 Silvex Fenoprop Gas Chromatography (GC) mcg/mL 0.02 Herbicide
4 Dicamba Banvel Gas Chromatography (GC) mcg/mL 0.1 Herbicide
5 Picloram Tordon Gas Chromatography (GC) mcg/mL 0.02 Herbicide
6 Triclopyr Garlon-4A Gas Chromatography (GC) mcg/mL 0.02 Herbicide

Test Also Known As
Hedonal; Mediben; Trinoxol; Weed-B-Gon
Reflex Tests
Test Code Test Name
5003SP Herbicides Panel 1 Confirmation, Serum/Plasma
Specimen Type
Serum or Plasma
Requested Volume
5 mL
Minimum Volume
2.4 mL
Special Handling
Promptly centrifuge and separate Serum or Plasma into a plastic screw capped vial using approved guidelines.
Specimen Container
Lavender top tube (EDTA)

Additional Collection Instructions

Transport Temperature
Frozen
Light Protection
Not Required
Rejection Criteria
Polymer gel separation tube (SST or PST).

Rejection criteria pertain to clinical specimen submissions only.

Stability
Room Temperature: Undetermined
Refrigerated: Undetermined
Frozen (-20 °C): Undetermined
1 2,4-D Dichlorophenoxyacetic Acid Gas Chromatography (GC) mcg/mL 0.02 Herbicide
2 2,4,5-Trichlorophenoxyacetic Acid 2,4,5-T; 2,4,5-Trichlorophenoxyacetate Gas Chromatography (GC) mcg/mL 0.02 Herbicide
3 Silvex Fenoprop Gas Chromatography (GC) mcg/mL 0.02 Herbicide
4 Dicamba Banvel Gas Chromatography (GC) mcg/mL 0.1 Herbicide
5 Picloram Tordon Gas Chromatography (GC) mcg/mL 0.02 Herbicide
6 Triclopyr Garlon-4A Gas Chromatography (GC) mcg/mL 0.02 Herbicide

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.