OXYCODONE, RANDOM URINE

Test Code

LAB1892

CPT Codes
80301

Preferred Specimen

Urine, random specimen in a clean plastic collection cup

Minimum Volume

2 mL urine
Required for testing: 1 mL urine

Transport Temperature

Refrigerated

Specimen Stability

Ambient: 24 hours Refrigerated: 5days Frozen: notspecified

Methodology
Enzyme Immunoassy

Setup Schedule

Sunday- Saturday

Reference Range

Negative

Clinical Significance

Cutoff for presumptive positive result: 100 ng/mL
Approximate detection time in urine: <24 hours
Calibrator: Oxycodone

Lowest Drug concentrations producing a POSITIVE RESULT

Compound	Cutoff Concentration (ng/mL)
Oxycodone	100
Oxymorphine	300

Concentrations of the following structurally unrelated compounds produce a NEGATIVE RESULT on this test

Analyte	Concentration
Acetone	1.0 g/dL
Ascorbic Acid	1.5 g/dL
Bilirubin	0.002 g/dL
Creatinine	0.5 g/dL
Ethanol	1.0 g/dL
y-Globulin	0.5 g/dL
Hemoglobin	0.300 g/dL
Human Serum Albumin	0.5 g/dL
Oxalic Acid	0.1 g/dL
Riboflavin	0.0075 g/dL
Sodium Azide	1% w/v
Sodium Citrate	6.0 g/dL
Sodium Fluoride	1 % w/v
Urea	6.0 g/dL
Ph	3,4,5,6,7,8,9,10 and 11
Specific Gravity	1.000, 1.002 , 1.005, 1.010, 1.015, 1.020, 1.025, and 1.030

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.