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HelpEpic Code LAB677 Drug of Abuse Screen Emergency Panel (Emergency Department Only)
Test Name Alias
Drug of Abuse Screen ED w/alcohol | 9049 | UDS | DOA
Interface Order Alias
10823
Ordering Instructions
The test is only to be ordered by Spectrum Health Hospital Emergency Department
Collection Instructions
Specimen Collection: Urine
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.
- Samples should be within the normal physiological pH range of 4.0 – 8.50
Processing Instructions
- Centrifuge highly turbid specimens before testing.
Specimen Stability
Ambient: 72 hours
Refrigerate: 14 days
Frozen: 14 days
Laboratory Retention: 10 days
Test Frequency
Available 24 hours, usual TAT 1 day.
Reference Range
Screen Cutoff Limits:
Amphetamines 500 ng/mL
Barbiturates 200 ng/mL
Benzodiazepines 300 ng/mL
Cannabinoids 50 ng/mL
Cocaine 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.
Performing Department
TOXICOLOGY (SHRL)
Chemistry (All other locations)
Performing Department Laboratory Location
Spectrum Health Regional Laboratory, Grand Rapids, MI
Spectrum Health Big Rapids Laboratory, Big Rapids, MI
Spectrum Health Blodgett Laboratory, Grand Rapids, MI
Spectrum Health Gerber Laboratory, Fremont, MI
Spectrum Health Kelsey Laboratory, Lakeview, MI
Spectrum Health Ludington Laboratory, Ludington, MI
Spectrum Health Pennock Laboratory, Hastings, MI
Spectrum Health Reed City Laboratory, Reed City, MI
Spectrum Health United Laboratory, Greenville, MI
Spectrum Health Zeeland Laboratory, Zeeland, MI
Methodology
Kinetic Interaction of Micro particles in a Solution (KIMS) / Enzyme Immunoassay (EIA)
CPT
80301-LAB-DRUG SCREEN CLASS A
HCPCS: G0479
CDM Code
4024018
Epic Test ID
1230102351
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
ETHANOL SCRN UR: 42242-8
METHADONE SCREEN, URINE: 19550-3
OPIATE 300 SCREEN, URINE: 19295-5
OXYCODONE SCREEN URINE: 19642-8
Reviewed Date
12/6/2021
Beaker Names
Beaker Procedure Name: DRUG SCREEN, EMERGENCY PANEL
Beaker Display Name: Drug of Abuse Screen with Alcohol, Emergency Department, Urine
BEAKER TEST NAME: DRUG OF ABUSE EMERGENCY PANEL
BEAKER TEST REPORT NAME: DRUG OF ABUSE EMERGENCY
Beaker Synonyms
DRUG OF ABUSE SCREEN ED|DRUG OF ABUSE SCREEN W/ ALCOHOL ED
Beaker Location, Container and Temperature
BW TOXICOLOGY: URINE CUP R (Preferred)-Refrigerated
BW TOXICOLOGY: UR YELLOW/GREY (Acceptable)-Refrigerated
BL CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
BL CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated
BR CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
BR CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated
GM CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
GM CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated
KL CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
KL CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated
LH CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
LH CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated
PH CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
PH CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated
RC CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
RC CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated
UN CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
UN CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated
ZH CHEMISTRY: URINE CUP R (Preferred)-Refrigerated
ZH CHEMISTRY: UR YELLOW/GREY (Acceptable)-Refrigerated