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Test Code LAB3382 Discontinued: Drug of Abuse Screen, Pain Clinic, Urine

Important Note

This test was discontinued on September 1, 2019. Recommeded replacement tests:

  • LAB1230496 - Urine Drug Screen with Confirmation (23 Targets) 
  • LAB1230497 - Urine Drug Screen with Confirmation (32 Targets)
  • LAB3584 - Barbiturates Urine Level

Test Name Alias

UDS | DrugScrAb Pain Clinic | Pain Management Panel | DOA | 4009

Panel Information

Document: Panels available at Spectrum Health

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

 

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 Mass Spectrometry confirmation.

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.

 

Also includes these opiate confirmations:

 

Urine Codeine by LC/MS. (cutoff level 300 ng/mL)

Urine Morphine by LC/MS. (cutoff level 300 ng/mL)

Urine Heroin Metabolite (6-MAM) by LC/MS. (cutoff level 10 ng/mL)

Urine Hydrocodone by LC/MS (cutoff level 100 ng/mL)

Urine Hydromorphone by LC/MS (cutoff level 100 ng/mL)

Urine Oxycodone by LC/MS (cutoff level 100 ng/mL)

Urine Oxymorphone by LC/MS (cutoff level 100 ng/mL)

 

 

pH Screen UR
4.0 – 8.50

SG Screen UR
1.003 – 1.030

Creatinine Screen UR

20 – 400 mg/dL

 

Clinical Information

 

Mandatory Reflex information

  • All positive screens will be confirmed by GC/MS or LC/MS

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)

Liquid Chromatography-Mass Spectrometry

CPT

80307-LAB-DRUG SCREEN CLASS A
Amphetamine scree, urine; Barbiturate screen,urine; Benzodiazepine screen, urine; Cannabinoids screen, urine;Cocaine screen, urine; Ethanol screen, urine; Methadone screen,urine
80361-LABLCMS OPIATESEXPANDEDCodeine, Morphine, Hydrocodone,Hydromorphone, Oxymorphone
80356-LABLCMS 6MAM Heroin
80365-LABLCMS OXYCODONE

HCPCS: G0480

 

CDM Code

4024018, 4028242, 4028246, 4028885

Epic Test ID

1230100634

Interface Order Alias

11686

Mayo Access Code

SHO4009

Reviewed Date

1/14/2020