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Drug Screen, Urine

Additional Codes

Epic# -

LAB3879

 

Cerner name(s):

  • Drug Screen, Urine

Performing Lab(s)

Memorial-Belleville & Memorial-Shiloh

Specimen Requirement (s)

Specimen Type:  Clean catch urine

Container/Tube:   yellow-cap vacutainer or plain red-top vacutainer urine specimen tube

Specimen Volume:    NA

Specimen Minimum Volume: 5-20 mL urine

 

Collection Instructions: NA

Day(s)/Shift(s) Test Set Up and Turnaround Time

Sunday through Saturday

Hours: 24 hours

 

Turnaround Time:

STAT: 60 minutes

Routine: less than 8 hours from receipt.

 

Transport and Stability

Transport temperature: Ambient to lab

Reference Values

Substances Tested for:

  • Barbiturates
  • Benzodiazepines
  • Cocaine Metabolites
  • Opiates
  • Cannabinoids (THC)
  • Oxycodone
  • Methadone
  • Phencyclidine (PCP)
  • Fentanyl
  • Amphetamines/Methamphetamine

Amphetamines: Detects MDMA, MDAS, d-Amphetamine, Methamphetamine, MBDB-HCl and BDB-HCl.

Barbiturates: Detects Secobarbitol, Cyclopentobarbital, Aprobarbital, Allobarbital, Butabarbital, Pentobarbital, Phenobarbital.”

Opiates: Detects Morphine, Codeine, Ethyl Morphine, Diacetylmorphine, 6-Acetylmorphine, Dihydrocodeine, Morphine-3-glucuronide, and Hydrocodone.

Confirmation testing will only be performed if the original order is for “Drug Screen With Confirmation”.

Confirmation testing is sent to reference lab for LC/MS

CPT/LOINC Codes

80307-Drug screen

80324 - Drug confirmation-Amphetamines (if appropriate) (G0480)

80346 - Drug confirmation - Benzodiazepine (if appropriate) (G0480)

80359-Drug confirmation-MDA,MDEA,MDMA (if appropriate) (G0480)

80361-Drug confirmation- Opiates (if appropriate) (G0480)

80365-Drug confirmation- Oxycodone (if appropriate) (G0480)

80356-Drug confirmation- Heroine metabolite (if appropriate) (G0480)

80353-Drug confirmation- Cocaine (if appropriate) (G0480)

83992-Drug confirmation- Phencyclidine (if appropriate) 

80358-Drug confirmation- Methadone (if appropriate) (G0480)

 

Interpretive Data

Drug screen

Drug

Cut off value

If ordered, sent for confirmation?

Amphetamines

500 ng/mL

Yes

Barbiturates

200 ng/mL

No

Benzodiazepines

100 ng/mL

Yes

Cannabinoids

50 ng/mL

No

Cocaine

150 ng/mL

Yes

Methadone

300 ng/mL

Yes

Opiates

300 ng/mL

Yes

Oxycodone

100 ng/mL

Yes

Phencyclidine

25 ng/mL

Yes

Fentanyl

1 ng/mL

Yes
  • Confirmation only performed if orders as “Drug Screen with Confirmation

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