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Test Code HYDROSO Hydrocodone & Metabolites, Free S (45004)

Additional Codes

MedTox Laboratories Test Code: 45004

Useful For

Therapeutic Drug Management

Synonyms/Keywords

Vicodin, Hycodan, Lortab, Hysingla, Zohydro

Specimen Requirements

Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
Serum Red Top Tube (RTT)   3 mL 0.6 mL  
Plasma Lithium-heparin Green Top Tube or Sodium-heparin Green Top Tube (GTT)   3 mL 0.6 mL  

Collection/Processing Instructions

Trough levels are most reproducible

Specimen Stability Information

Specimen Type Temperature Time
Serum or Plasma Ambient 3 days
Specimen may also be refrigerated or frozen for longer storage.

Rejection Criteria

Gel-barrier tubes are not recommended

Test Components

Hydrocodone, Hydromophone, Dihydrocodeine

Reference Range Information

Performing Location Reference Range
Medtox Laboratories Hydrocodone: 10-100 ng/mL Hydromorphone: 1-30 ng/mL Dihydrocodeine: Not established

Performing Laboratory Name

Medtox Laboratories

Referral Laboratory Information

Address Telephone Website Link Marshfield Lab Account #

402 West County Road D

St. Paul, MN 55112

800-832-3244 (Main)

888-310-2264 (Team Emerald)

 www.medtox.com 1080

Performing Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Medtox Laboratories Performed daily 5 days Liquid Chromatography/Tandem Mass Spectrometry (LC/MS-MS)

CPT Codes

CPT Modifier
(if needed)		 Quantity Description Comments
80361        

Outreach CPT Codes

CPT Modifier
(if needed)		 Quantity Description Comments
80361        

Ordering Applications

Ordering Application Description
Centricity Hydrocodone, Serum (166)
Cerner Hydrocodone, Serum (166)