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| A B C D E F G H I J K L M N O P Q R S T U V W X Y Z # |
HEROIN SCREEN w/ CONFIRMATION
Test CodeLAB8415 (MISCELLANEOUS)
CPT Codes
80307
Includes
- 6-acetlymorphine (6-MAM)
- Codeine
- Morphine
Preferred Specimen
2 Yellow round bottom tubes are preferred
Patient Preparation
None
Minimum Volume
10 mL (1 full yellow tube) or 20 mL (2 full yellow tubes, optimal)
Other Acceptable Specimens
Sterile Container
Instructions
Refrigerate or Freeze
Transport Container
Yellow tubes or Sterile container
Transport Temperature
Refrigerate or Freeze
Specimen Stability
- 2-8°C up to 5 days
- Frozen samples will be accepted up to 30 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
- Quantity Not Sufficient (QNS)
- Samples exposed to repeated freeze/thaw cycles
Methodology
EIA reflex LCMS
Setup Schedule
Screening is performed: M, T, W, Th, F, Sa, Sun (performed as received)
Confirmation is perfomed: M, T, W, Th, F
Confirmation is perfomed: M, T, W, Th, F
Report Available
Screening reported same day tested
Confirmation reported M-F only
Confirmation reported M-F only
Reference Range
Negative
| Drug Screen Cutoff Values | |
|---|---|
| Drug Name | ng/mL |
| Heroin | 10 |
Clinical Significance
Heroin is produced by chemical modification of morphine. It is rapidly metabolized (half-life of 9 minutes) to 6- Acetylmorphine (6-AM), and then to morphine by hydrolysis in the liver. The presence of 6-AM cannot be caused by injection of legal opiate analgesics or large quantities of poppy seeds. Positive Chain of Custody screens are kept frozen for 1 year. Positive Non-Chain of Custody screens are kept frozen for 30 days.
Performing Laboratory
Alverno Central Lab
