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Epic Code LAB3227 Drug of Abuse Screen Toxicology, Urine

Test Name Alias

UDS | DrugScrAbuseTox | Drug of Abuse Screen w/alcohol | 9 panel Drug Screen | DOA | 4008

Interface Order Alias

11576

Panel Information

Document: Panels available at Spectrum Health

Collection Instructions

Specimen Collection: Urine, Random

 

Container(s): Sterile Urine Cup or Pale Yellow Top Urine Tube-no preservative

Preferred Volume to Collect: 10.0 mL

Minimum Volume to Collect: 1.0 mL

 

Collection Instructions:

  • Include Chain of Custody form when appropriate
  • Keep container upright at all times and check that lid is fastened evenly and securely.
  • Do not send container home with patient, must be collected on site.
  • Do not open container after collection.

Processing Instructions (Laboratory, Outpatient or Off-site collection)

Transport Temperature: Refrigerate

Specimen Stability

Ambient: 72 hours

Refrigerate: 14 days

Frozen: 14 days

Laboratory Retention: 10 days

Reflex Information

Mandatory Reflex Information:

  • Positive amphetamine, cannabinoids, methadone, opiates, oxycodone or cocaine for Inpatient Obstetric patients (mothers and their babies), LC/MS Confirmation will be performed.

Test Frequency

Available 24 hours, usual TAT 1 day.

STAT TAT 1 hour.

Reference Range

Screen Cutoff Limits:

 

Amphetamines 500 ng/mL

Barbiturates 200 ng/mL

Benzodiazepines 300 ng/mL

Cannabinoids 50 ng/mL

Cocaine/Metab. 150 ng/mL

Ethanol 20 mg/dL

Methadone 300 ng/mL

Opiates 300 ng/mL

Oxycodone 100 ng/mL

 

SCREENING PROCEDURE ONLY. Positives are not confirmed except where established by Laboratory policy. For other specimens, confirmation testing must be ordered by the physician. The Laboratory recommends that no legal action be taken on a positive screen result without confirmatory testing being performed.

Screening procedures generally target only one or a few specific drugs of a given class. Other drugs of the class may or may not cross react. Comprehensive Drug Screen may detect drugs not detected by this screening procedure.

pH and SG testing are performed to evaluate specimen integrity. Results outside the indicated ranges may or may not indicate an attempt by the patient to adulterate or otherwise compromise the specimen. Repeat testing on a new collection may be indicated if there is a question as to specimen integrity.

All urine drug screen specimens are stored for 14 days. Contact the Toxicology laboratory at 267-2780 for questions about confirmation testing, cross reactivity, Comprehensive Drug Screen, or specimen integrity testing.

 

Creatinine UR

20 - 400 mg/dL

pH Screen UR

4.0 – 8.50

SG Screen UR

1.003 – 1.030

 

 

Performing Department

TOXICOLOGY

Performing Department Laboratory Location

Spectrum Health Regional Laboratory, Grand Rapids, MI

Methodology

Kinetic Interaction of Micro particles in a Solution (KIMS) / Enzyme Immunoassay (EIA)

CPT

80307-LAB-DRUG SCREEN CLASS A
Amphetamine screen, urine; Barbiturate screen,urine; Benzodiazepine screen, urine; Cannabinoids screen, urine;Cocaine screen, urine; Ethanol screen, urine; Methadone screen,urine; Opiate 300 screen, urine; Oxycodone screen, urine.

CDM Code

4024018

Epic Test ID

1230100636

Beaker LOINC

AMPHETAMINE SCREEN, URINE: 19261-7
BARBITURATE SCREEN, URINE: 19270-8
BENZODIAZEPINE SCREEN, URINE: 14316-4
CANNABINOIDS SCREEN, URINE: 18282-4
COCAINE SCREEN, URINE: 19359-9
CREATININE SCREEN URINE: 2161-8
DAU SCREEN CUTOFF LIMITS: 54247-2
ETHANOL SCRN UR: 42242-8
METHADONE SCREEN, URINE: 19550-3
OPIATE 300 SCREEN, URINE: 19295-5
OXYCODONE SCREEN URINE: 19642-8
PH SCREEN, URINE: 2756-5
SG SCREEN, URINE: 53326-5

Mayo Access Code

SHO4008

Reviewed Date

12/6/2021

Beaker Names

Beaker Procedure Name: DRUG SCREEN ABUSE TOXICOLOGY
Beaker Display Name: Drug of Abuse Screen, Urine
BEAKER TEST NAME: DRUGSCRABUSETOX
BEAKER TEST REPORT NAME: DrugScrAbuseTox

Beaker Synonyms

No synonym on file

Beaker Location, Container and Temperature

BW TOXICOLOGY: URINE CUP R (Preferred)-Refrigerated
BW TOXICOLOGY: 10 ML URINE YELLOW TUBE (Acceptable)-Refrigerated