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HelpTest Code PCS10 Pain Clinic Drugs with Confirmation
Useful For
The detection of drug classes listed in this survey is useful for compliance monitoring and identification of abuse.
Synonyms/Keywords
Amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, ethanol, methadone, opiates, oxycodone, buprenorphine, Clonazepam, Temazepam, Diazepam, Chlordiazepoxide, Alprazolam, Flunitrazepam, Flurazepam, Nordiazepam, Chlorazepate, Marijuana, THC, Benzoylecgonine, Cocaine, Hydromorphone, Hydrocodone, Morphine, Codeine, Oxymorphone, Oxycodone, Oxycontin, Vicodin, Amines
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 | Urine | Sage urine collection container | Sterile plastic container with no preservatives | 10 mL | 8 mL | 5 mL |
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Urine | Refrigerate (Preferred) | 30 days |
| Ambient | 7 days |
Test Components
Immunoassay screen with quantitative confirmation by liquid chromatography methods (when needed) for the following drug classes or method groups: amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, methadone, opiate method group, oxycodone method group, and buprenorphine. Test also includes specimen validity testing (creatinine) to detect adulteration, dilution, or substitution of the specimen.
Immunoassay screen for ethanol with quantitative result.
The immunoassay screening test for the Benzodiazepines drug class does not detect Lorazepam or Clonazepam well. If either of these drugs are suspected, please order the test "Benzodiazepines, Urine, Confirm Only by LC/MSMS" in addition to this test to insure detection if present.
Test Information
This test is designed to support medical, not forensic, purposes. The detection of drugs listed in this survey is to be used for compliance monitoring and identification of abuse.
This test will detect the following drug classes or method groups: amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, ethanol, methadone, opiate method group, oxycodone method group, and buprenorphine at and above cut-off levels.
If the screen is positive, this test also includes mass-spectrometry method confirmation. Also includes specimen validity testing (creatinine) to detect adulteration, dilution, or substitution of the specimen. Quantitative immunoassay result is reported for ethanol. All confirmations / quantitations are charged separately as needed.
The amphetamine class includes phentermine, amphetamine, methamphetamine, ephedrine, pseudoephedrine, MDA, MDEA, and MDMA (Ecstasy).
Barbiturates class includes butalbital, amobarbital, secobarbital, pentobarbital, and phenobarbital.
Benzodiazepines class includes desalkylflurazepam, nordiazepam, 7-aminoflunitrazepam, oxazepam, temazepam, 7-aminoclonazepam, lorazepam, alpha-hydroxyalprazolam, and diazepam.
Buprenorphine method group includes buprenorphine and norpbuprenorphine.
The methadone method group includes parent methadone and EDDP (methadone metabolite).
Opiate method group includes morphine, codeine, hydrocodone, hydromorphone.
Oxycodone method group includes oxycodone and oxymorphone.
NOTE: The immunoassay screening test for the Benzodiazepines drug class does not detect Lorazepam or Clonazepam well. If either of these drugs are suspected, please order the test "Benzodiazepines, Urine, Confirm Only by LC/MSMS" in addition to this test to insure detection if present.
Interpretations
Current Cutoff Levels for Toxicology
For detailed interpretation information of each drug class/group, please refer to the individual confirmatory assay test codes.
Reference Range Information
| Performing Location | Reference Range |
|---|---|
| Marshfield | Negative. Positives are reported with a quantitative LCMS/MS result. |
Marshfield Labs Performing Department
Marshfield Labs Chemistry
Performing Information
| Performing Location | Day(s) Test Performed | Analytical Time | Methodology/Instrumentation |
|---|---|---|---|
| Marshfield |
Monday through Sunday | If no confirmatory work is required: 1 day | Beckman DxC 700 AU/Emit Immunoassay |
| Monday through Friday | If confirmatory work is required: 4 days | LC-MS/MS |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 80307 | 1 | Single Drug Class Screen | ||
| 80359 | 1 | Methylenedioxyamphetamines (MDA, MDMA) | If needed | |
| 80326 | 1 | Amphetamines confirmation | If needed | |
| G0480 | 1 | Amphetamines confirmation | For Marshfield Clinic and Medicare/Medicaid (If needed) | |
| 80345 | 1 | Barbiturates confirmation | If needed | |
| G0480 | 1 | Barbiturates confirmation | For Marshfield Clinic and Medicare/Medicaid (If needed) | |
| 80346 | 1 | Benzodiazepine confirmation | If needed | |
| G0480 | 1 | Benzodiazepine confirmation | For Marshfield Clinic and Medicare/Medicaid (If needed) | |
| 80348 | 1 | Buprenorphine confirmation | If needed | |
| G0480 | 1 | Buprenorphine confirmation | For Marshfield Clinic and Medicare/Medicaid (If needed) | |
| 80349 | 1 | Cannabinoids confirmation | If needed | |
| G0480 | 1 | Cannabinoids confirmation | For Marshfield Clinic and Medicare/Medicaid (If needed) | |
| 80353 | 1 | Cocaine confirmation | If needed | |
| G0480 | 1 | Cocaine confirmation | For Marshfield Clinic and Medicare/Medicaid (If needed) | |
| 80358 | 1 | Methadone confirmation | If needed | |
| G0480 | 1 | Methadone confirmation | For Marshfield Clinic and Medicare/Medicaid (If needed) | |
| 80361 | 1 | Opiate confirmation | If needed | |
| G0480 | 1 | Opiate confirmation | For Marshfield Clinic and Medicare/Medicaid (If needed) | |
| 80365 | 1 | Oxycodone confirmation | If needed | |
| G0480 | 1 | Oxycodone confirmation | For Marshfield Clinic and Medicare/Medicaid (If needed) |
Outreach CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 80307 | 1 | Single Drug Class Screen | ||
| 80359 | 1 | Methylenedioxyamphetamines (MDA, MDMA) | If needed | |
| 80326 | 1 | Amphetamines confirmation | If needed | |
| G0480 | 1 | Amphetamines confirmation | For Medicare/Medicaid (If needed) | |
| 80345 | 1 | Barbiturates confirmation | If needed | |
| G0480 | 1 | Barbiturates confirmation | For Medicare/Medicaid (If needed) | |
| 80346 | 1 | Benzodiazepine confirmation | If needed | |
| G0480 | 1 | Benzodiazepine confirmation | For Medicare/Medicaid (If needed) | |
| 80348 | 1 | Buprenorphine confirmation | If needed | |
| G0480 | 1 | Buprenorphine confirmation | For Medicare/Medicaid (If needed) | |
| 80349 | 1 | Cannabinoids confirmation | If needed | |
| G0480 | 1 | Cannabinoids confirmation | For Medicare/Medicaid (If needed) | |
| 80353 | 1 | Cocaine confirmation | If needed | |
| G0480 | 1 | Cocaine confirmation | For Medicare/Medicaid (If needed) | |
| 80358 | 1 | Methadone confirmation | If needed | |
| G0480 | 1 | Methadone confirmation | For Medicare/Medicaid (If needed) | |
| 80361 | 1 | Opiate confirmation | If needed | |
| G0480 | 1 | Opiate confirmation | For Medicare/Medicaid (If needed) | |
| 80365 | 1 | Oxycodone confirmation | If needed | |
| G0480 | 1 | Oxycodone confirmation | For Medicare/Medicaid (If needed) |
Ordering Applications
| Ordering Application | Description |
|---|---|
| Cerner | Pain Clinic Drugs w/Conf., Urine |