Test Code PETH Phosphatidylethanol Confirmation, Blood
Additional Codes
| Epic Ordering Code | LAB305379 |
| NBS code | LBC13487 |
| Service code | 37227 |
Reporting Name
Phosphatidylethanol Confirmation, BSpecimen Type
Whole Blood EDTASpecimen 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.
NUH Outreach Laboratories:
Specimen Requirements
Submit the following:
Container: Purple Top
Processing Requirements
Do not centrifuge or aliquot
Specimen type: Whole Blood
Volume: 1 mL
Storage/transport requirements: Frozen
Forms
If not ordering electronically, complete, print, and send 1 of the following forms with the specimen:
-Kidney Transplant Test Request
-Therapeutics Test Request (T831)
-General Test Request (T239)
-Renal Diagnostics Test Request (T830)
Special Instructions
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 |
Method Name
Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS)
Day(s) Performed
Monday through Sunday
Report Available
2 to 5 daysPlease note that this is a referral test requiring transport to the external testing facility and an additional 3-5 days is required.
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
Performing Laboratory
Mayo Clinic Laboratories in Rochester
Useful For
Verifying abstinence or use of ethanol, especially in liver transplant candidates/patients
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 |
Secondary ID
617480Test 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.Last updated 05/08/2026