Test Code BREATH ALC C.O.C. (Chain-of-Custody), Breath Alcohol
Methodology
Intoxilyzer 200
Performing Laboratory
Decatur Morgan Hospital-Decatur Campus/Parkway Campus
Specimen Requirements
Specimen must be collected by a certified breath alcohol technician (BAT) only. BAT must explain testing principles of device to donor and offer he/she informed consent.
Container/Tube: Intoxilyzer 200 instrument
Specimen Volume: See “Container/Tube.”
Collection Instructions:
Note: 1. Patient must not consume any alcohol for 15 to 20 minutes prior to the test. This includes products that contain alcohol such as some mouthwashes and cold medicines. If this precaution is not followed, it is possible to attain an inordinately high alcohol reading due to residual alcohol in the mouth.
2. Follow instructions in “Breath Alcohol Analysis Collection” in “C.O.C. (Chain-of-Custody) Collection Procedure” in “Special Instructions” and “INTOXILYZER 200 FOR P.O.C.T. OF BREATH ALCOHOL” procedure.
Reference Values
An interpretive report will be provided.
Test Classification and CPT Coding
82075