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OPIATES SCREEN w/ CONFIRMATION

Message
Positive screen will automatically reflex to confirmation testing.


Test Code
OPSWC


CPT Codes
80307

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


Preferred Specimen
Urine


Minimum Volume
10 mL (1 full yellow tube)


Other Acceptable Specimens
None


Instructions
Refrigerate


Transport Container
1 Yellow round bottom tube is preferred.  
​Sterile Container or Alverno Toxi Collection kit (Occupational Medicine accounts) will be accepted.


Transport Temperature
Refrigerate


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?)
QNS (quantity not sufficient). Samples exposed to repeated freeze/thaw cycles will be rejected.


Methodology
EIA reflex LCMS

Setup Schedule
  • Screening is performed M, Tu, W, Th, F, Sa, Su
  • Confirmation testing is performed M, Tu, W, Th, F


Report Available
  • Screen reported same day tested
  • Confirmation will be reported 24-48 hours after receipt (M-F only)


Reference Range
Negative
Drug Reporting Limit
Opiate Screen 2000 ng/mL
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
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  
NCHB1 (Chemistry, Beckman AU)


Last Updated: December 13, 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.