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OPIATE CONFIRMATION

Message
This test is for internal use only.


Test Code
DMOPI


Alias/See Also
DCOPI


CPT Codes
80361; 80356

Includes
  • 6-Acetylmorphine
  • Codeine
  • Morphine
  • Hydrocodone
  • Hydromorphone
  • Norhydromorphone


Preferred Specimen
1 Yellow round bottom tube is preferred


Minimum Volume
10 mL (1 full yellow tube)


Other Acceptable Specimens
Sterile Container


Instructions
None


Transport Temperature
Refrigerate or freeze


Specimen Stability
  • 2-8°C up to 7 days
  • Frozen samples will be accepted up to 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Samples exposed to repeated freeze/thaw cycles will be rejected.


Methodology
LC/MS/MS 

Setup Schedule
M, Tu, W, Th, F


Report Available
Within 24-48  hours of receipt at the performing laboratory.


Reference Range
Component Mass Spec Reporting Limit
6-Acetylmorphine 10 ng/mL
Codeine 50 ng/mL
Morphine 50 ng/mL
Hydrocodone 50 ng/mL
Hydromorphone 50 ng/mL
Norhydromorphone 50 ng/mL


Clinical Significance
This test is used for quantitative confirmation of a positive drug screen. Positive Chain of Custody screens are kept frozen for 1 year. Positive Non-Chain of Custody screens are kept frozen for 30 days.


Performed By
Alverno Laboratories

Performing Laboratory
Alverno Central Lab  
NCHMS (LC/MS/MS, Mass Spec)


Last Updated: December 21, 2023


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.