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Test Code
If the Provider requires an interpretive comment with results, please order 'PMM1' along with the test. PMM1 will require the last 5 days of prescription medicine taken by the patient to be input at the time of order.
This test may reflex to additional tests depending upon results of this test. No additional fee will be added if the reflex test is necessary.
If this test is ordered alone without additional Pain Management tests please add a PMV1 test to include validity testing for the specimen.
Container TypeLeakproof plastic urine container
Supply Item Number1387 or 1678
Specimen TypeRandom urine
Preferred Volume50 mL
Emergency Minimum Volume30 mL
Collection ProcedureCollect a random urine specimen
Store and TransportAmbient (room temperature)
StabilityRoom Temp 10 days  Refrigerated 1 month  
Reference LaboratoryPAML
Reference Lab Test CodeLCA code 910511
CPT Codes80307
Interface Order Code80255.Z1
Billing CodePMALC
Test ScheduleMon-Sat
Turnaround Time1-3 days
MethodEnzyme Immunoassay
Reference Ranges
Alcohol ScreenNegative< 20mg/dL
Alcohol by GC/FIDmg/dL
Reflex Testing
Reflex ConditionReflex Test NameReflex CPT codesReflex Billing codes
If screen for Alcohol positive Reflex testing built into panel, no additional test code requiredReflex testing built into panel, no additional CPT code requiredN/A

Interface Codes
typeorder codetest descriptionresult coderesult descriptionunitsdecimal placesloinc code
o80255.Z1Pain Management Alcohol
r80255.Z1Pain Management Alcohol80101.Z198Alcohol Screenmg/dL 42242-8
r80255.Z1Pain Management Alcohol80102.Z124Alcohol by GC/FIDmg/dL 46983-3