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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