Test Definition: PCDSO Pain Clinic Drug Screen, Urine

Transcription

1 Reporting Title: Pain Clinic Drug Screen, U Performing Location: Rochester Specimen Requirements: Collection Container/Tube: Plastic urine container Submission Container/Tube: Plastic, 60-mL urine bottle Specimen Volume: 30 ml Collection Instructions: 1. Collect a random urine specimen. 2. Submit 30 ml in 1 plastic bottle. 3. No preservative. Additional Information: 1. No specimen substitutions. 2. No STATS are accepted for this procedure. 3. For situations where chain of custody is required, a Chain-of-Custody Kit (Supply T282) is available. For chain-of-custody information, see PDSOX / Pain Clinic Drug Screen, Chain of Custody, Urine. 4. Additional drug panels and specific requests are available. Call Mayo Medical Laboratories at or If urine creatinine is required or adulteration of the sample is suspected, the following test should be requested, ADULT / Adulterants Survey, Urine. 6. For additional information, please refer to ADULT / Adulterants Survey, Urine. Specimen Type Temperature Time Urine Refrigerated (preferred) 14 days Frozen Ambient 14 days 72 hours Result Codes: Result ID Reporting Name Type Unit LOINC Alcohol Numeric mg/dl Also used by tests: IDOAU, CDAU, CDAU1, CDAU Amphetamines Numeric ng/ml Also used by tests: CDAU5, CDAU2, CDAU7, CDAU3, CDAU, CDAU1 Document generated July 15, 2014 at 10:48am CDT Page 1 of 5

2 Result ID Reporting Name Type Unit LOINC 2574 Barbiturates Numeric ng/ml Also used by tests: IDOAU, CDAU7, CDAU1, CDAU3, CDAU, CDAU Benzodiazepines Numeric ng/ml Also used by tests: CDAU, CDAU3, CDAU Cocaine Numeric ng/ml Also used by tests: CDAU2, CDAU7, CDAU1, CDAU5, CDAU, CDAU Methadone Numeric ng/ml Also used by tests: CDAU2, CDAU1, CDAU Opiates Numeric ng/ml Also used by tests: CDAU5, CDAU, CDAU7, CDAU2, CDAU1, IDOAU, CDAU Phencyclidine Numeric ng/ml Also used by tests: CDAU2, CDAU3, CDAU5, CDAU7, IDOAU, CDAU, CDAU Tetrahydrocannabinol Numeric ng/ml Also used by tests: CDAU3, CDAU7, CDAU5, CDAU Chain of Custody Numeric N/A Also used by tests: IDOAU, CDAU1, CDAU7, CDAU3, CDAU5, CDAU2, CDAU Oxycodone Numeric ng/ml In Process Drugs detected: Alphanumeric Suspect Drug Alphanumeric In Process Chain of Custody Numeric N/A Document generated July 15, 2014 at 10:48am CDT Page 2 of 5

3 Components: Test ID Reporting Name CPT Units CPT Code Always Performed Orderable Separately CDAU7 Confirmed Drug Abuse Panel 9, U Yes Yes OXYSU Oxycodone Screen, U Yes Yes PDSU Drug Screen, Prescription/OTC, U Yes Yes Reflex Tests: Test ID Reporting Name CPT Units CPT Code Always Performed Orderable Separately AMPHU Amphetamines Confirmation, U No Yes COKEU Cocaine and metabolite Conf, U No Yes BENZU Benzodiazepines Confirmation, U No Yes BARBU Barbiturates Confirmation, U No Yes MTDNU Methadone Confirmation, U No Yes PCPU Phencyclidine Confirmation, U No Yes THCU Carboxy-THC Confirmation, U No Yes ETOH Ethanol, U No No OPATU Opiate Confirmation, U No Yes OXYCU Oxycodone w/metabolite Conf, U No Yes Result Codes for Reflex Tests: OPATU 6543 Codeine-by LC-MS/MS Alphanumeric ng/ml OPATU Hydrocodone-by LC-MS/MS Alphanumeric ng/ml OPATU Hydromorphone-by LC-MS/MS Alphanumeric ng/ml OPATU Oxycodone-by LC-MS/MS Alphanumeric ng/ml OPATU Oxymorphone-by LC-MS/MS Alphanumeric ng/ml In Process OPATU 6542 Morphine-by LC-MS/MS Alphanumeric ng/ml OPATU Opiates Interpretation Alphanumeric Document generated July 15, 2014 at 10:48am CDT Page 3 of 5

4 OPATU Chain of Custody Numeric N/A AMPHU 2934 Amphetamine-by GC/MS Alphanumeric ng/ml AMPHU Phentermine-by GC/MS Alphanumeric ng/ml AMPHU 2550 Methamphetamine-by GC/MS Alphanumeric ng/ml AMPHU Pseudoephedrine/Ephedrine-by GC/MS Alphanumeric ng/ml AMPHU MDA (Ecstasy metabolite)-by GC/MS Alphanumeric ng/ml AMPHU MDMA (Ecstasy)-by GC/MS Alphanumeric ng/ml AMPHU Amphetamines Interpretation Alphanumeric AMPHU Chain of Custody Numeric N/A BARBU Butalbital-by GC/MS Alphanumeric ng/ml BARBU Amobarbital-by GC/MS Alphanumeric ng/ml BARBU Pentobarbital-by GC/MS Alphanumeric ng/ml BARBU Secobarbital-by GC/MS Alphanumeric ng/ml BARBU Phenobarbital-by GC/MS Alphanumeric ng/ml BARBU Barbiturates Interpretation Alphanumeric BARBU Chain of Custody Numeric N/A BENZU Nordiazepam-by GC/MS Alphanumeric ng/ml BENZU Oxazepam-by GC/MS Alphanumeric ng/ml BENZU Lorazepam-by GC/MS Alphanumeric ng/ml BENZU Temazepam-by GC/MS Alphanumeric ng/ml BENZU OH-Ethyl-Flurazepam-by GC/MS Alphanumeric ng/ml BENZU NH-Clonazepam-by GC/MS Alphanumeric ng/ml BENZU Alpha OH-Alprazolam-by GC/MS Alphanumeric ng/ml BENZU NH-Flunitrazepam-by GC/MS Alphanumeric ng/ml BENZU Alpha OH-Triazolam-by GC/MS Alphanumeric ng/ml BENZU Benzodiazepines Interpretation Alphanumeric BENZU Chain of Custody Numeric N/A COKEU 2922 Cocaine-by GC/MS Alphanumeric ng/ml COKEU 2902 Benzoylecgonine-by GC/MS Alphanumeric ng/ml COKEU Cocaine Interpretation Alphanumeric COKEU Chain of Custody Numeric N/A Document generated July 15, 2014 at 10:48am CDT Page 4 of 5

5 ETOH Ethanol-by GC-FID Numeric ETOH Ethanol Interpretation Alphanumeric ETOH Chain of Custody Numeric N/A MTDNU EDDP-by GC-MS Alphanumeric ng/ml MTDNU Methadone-by GC-MS Alphanumeric ng/ml MTDNU Methadone Interpretation Alphanumeric MTDNU Chain of Custody Numeric N/A PCPU 6673 Phencyclidine-by GC/MS Alphanumeric ng/ml PCPU Phencyclidine Interpretation Alphanumeric PCPU Chain of Custody Numeric N/A THCU 2497 Carboxy-THC- by GC/MS Alphanumeric ng/ml THCU Carboxy-THC Interpretation Alphanumeric THCU Chain of Custody Numeric N/A OXYCU Oxycodone-by LC-MS/MS Alphanumeric ng/ml In Process OXYCU Oxymorphone-by LC-MS/MS Alphanumeric ng/ml In Process OXYCU Oxycodone Interpretation Alphanumeric In Process Reference Values: Negative Screening cutoff concentrations: Alcohol: 30 mg/dl Amphetamines: 500 ng/ml Barbiturates: 200 ng/ml Benzodiazepines: 200 ng/ml Cocaine (benzoylecgonine-cocaine metabolite): 150 ng/ml Ethanol: 30 mg/dl Methadone: 150 ng/ml Opiates: 300 ng/ml Phencyclidine: 25 ng/ml Tetrahydrocannabinol carboxylic acid: 20 ng/ml This report is intended for use in clinical monitoring or management of patients. It is not intended for use in employment-related testing. Document generated July 15, 2014 at 10:48am CDT Page 5 of 5