Opiate/Oxycodone Confirm Quantitative, Urine
Orderable EAP code:
Billable EAP Codes:
CPT Codes:
Lab Section:
Includes:
Test includes Codeine, Morphine, Hydrocodone, Hydromorphone, Oxycodone, Oxymorphone, and 6-Acetylmorphine (qualitative).
Turnaround Time:
3 - 5 Days
Test Schedule:
Monday through Friday; 2 times a week
Units:
Specimen Requirements:
2.0 mL of urine collected in a urine cup. A minimum of 0.5 ml of urine is needed for testing.
Specimen Stability:
3 days ambient
14 days refrigerated
14 days frozen
Unacceptable Specimens:
Specimens exposed to repeated freeze/thaw cycle.
Pediatric Specimen Requirements:
1.0 mL of urine collected in a urine cup. A minimum of 0.5 ml of urine is needed for testing.
Specimen Stability:
3 days ambient
14 days refrigerated
14 days frozen
Unacceptable Specimens:
Specimens exposed to repeated freeze/thaw cycle.
Reference Range:
Cutoff concentration:
Codeine, Oxycodone, Oxymorphone, Morphine, Hydrocodone and Hydromorphone: 50 ng/mL.
6-Acetylmorphine: 10 ng/mL
Comments:
Preferred test to follow-up presumptive/screening results or to obtain a quantitative result.
Methodology: Liquid Chromatography Mass Spectrometry (LCMS/MS)
This is a lab-developed test (LDT) not evaluated by FDA. The results are for clinical use only.
Certain synthetic and natural opiates are not detected by this method. The compounds not detected include, but are not limited, to the following: Demerol (meperidine), Fentanyl, Thebaine, Etorphine, Oripavine, Norcodeine, Nalbuphine, Buprenorphine, Naloxone and Naltrexone. Morphine-glucuronide and codeine-glucuronide are metabolic products of morphine and codeine respectively.
Identification of specific drug(s) taken by specimen donor is problematic due to common metabolites, some of which are prescription drugs themselves. The absence of expected drug(s) and/or drug metabolite(s) may indicate non-compliance, inappropriate timing of specimen collection relative to drug administration, poor drug absorption, diluted/adulterated urine, or limitations of testing. A very small amount of an unexpected drug analyte in the presence of a large amount of an expected drug analyte may reflect pharmaceutical impurity. Interpretive questions should be directed to the laboratory.
Synonyms:
Opiate Confirmation