OPIATE, RANDOM URINE

Test Code
LAB1230225


CPT Codes
80301

Preferred Specimen
Urine, random specimen in a clean plastic collection cup


Minimum Volume
1 mL urine


Transport Temperature
Refrigerated


Specimen Stability
Ambient: 24 hours   Refrigerated: 5 days


Methodology
Enzyme Immunoassay (EIA)

Setup Schedule
Sunday-Saturday


Reference Range
Negative


Clinical Significance
Cutoff for positive value: 300 ng/mL
Approximate Detection Time in Urine: 2-4 days
Calibrator: Morphine

Lowest Drug Concentrations Producing a POSITIVE RESULT
 
Compound  Cutoff Concentration (ng/mL)
6-Monoacetyl morphine 280
Codeine 180
Dihydrocodeine 650
Heroin 380
Hydrocodone 650
Hydromorphone 1,400
Levorphanol 10,500
Morphine 300
Morphine-3-glucuronide 600
Morphine-6-glucuronide 270
Oxycodone 10,500
Oxymorphone 40,000
Ranitidine 500,000

Concentrations of the following drugs produce a NEGATIVE RESULT
Compound  Cutoff Concentration (ng/mL) Compound  Cutoff Concentration (ng/mL)
Acetaminophen 500,000 Imipramine 100,000
Acetylsalicylic acid 500,000 Maprotiline 100,000
Amitriptyline 100,000 Meperidine 20,000
Amphetamine 1,000,000 Methadone 500,000
Benzoylecgonine 1,000,000 Metronidazole 1,000,000
Caffeine 10,000 Nalbuphine 1,000,000
Carbamazepine 500,000 Naloxone 100,000
Chlorpromazine 10,000 Naltrexone 3,000,000
Clomipramine 100,000 Normorphine 100,000
Cyclazocine 35,000 Mortriptyiline 100,000
Desipramine 100,000 Oxazepam 250,000
Dextromethorphan 100,000 Phencyclidine 1,000,000
Doxepine 100,000 Phenobarbital 1,000,000
Ephedrine 1,000,000 Secobarbital 1,000,000
Fentanyl 100,000 Talwin 100,000
Fluoxetine 100,000 Thebaine 2,000
Fluphenazine 100,000 Thioridazine 100,000
Ibuprofen 500,000 Tramadol 100,000


Performing Laboratory
West Virginia University Hospital, Inc.
United Hospital Center




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.