Test Code OXYSO Oxycodone and Metabolite, Serum/Plasma (45002)
Additional Codes
MedTox Laboratories Test Code: 45002
Useful For
Therapeutic Drug Management
Synonyms/Keywords
Oxycodone, Oxycontin, Oxymorphone, Percocet, Percodan, Tylox
Specimen Requirements
| Fasting Required | Specimen Type | Preferred Container/Tube | Acceptable Container/Tube | Specimen Volume | Specimen Minimum Volume (allows for 1 repeat) |
Pediatric Minimum Volume (no repeat) |
|---|---|---|---|---|---|---|
| No | Serum | Red Top Tube (RTT) | 10 mL | 3 mL | ||
| No | Plasma | Green Top Tube (GTT) | 10 mL | 3 mL |
Collection/Processing Instructions
Submit either serum or heparinzed plasma.
Transfer specimen to plastic transfer tube.
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Serum | Ambient | 3 days |
| Refrigerated | 2 weeks | |
| Frozen | 6 months | |
| Plasma | Ambient | 3 days |
| Refrigerated | 2 weeks | |
| Frozen | 6 months |
Test Components
Oxycodone, Oxycontin, Oxymorphone, Percocet, Percodan
Reference Range Information
| Performing Location | Reference Range |
|---|---|
| Medtox | Oxycodone: 10-100 ng/mL Oxymorphone: 1-8 ng/mL |
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 | Monday through Sunday | 5 days | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS-MS) |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 80365 |
Outreach CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 80365 |
Ordering Applications
| Ordering Application | Description |
|---|---|
| Cerner | Oxycodone and Metabolites, Serum/Plasma |