Drug Monitoring, Panel 7 with Confirmation, Urine

Test Code

CPT Codes

Initial screen of 6-Acetylmorphine, Alcohol Metabolites, Amphetamines, Barbiturates, Benzodiazepines, Marijuana Metabolite, Cocaine Metabolite, Methadone Metabolite, Opiates, Oxycodone drug classes. Specimen validity consisting of Creatinine, Oxidant, and pH testing.

If screen of drug class is positive, a confirmation of the drug class will be performed at an additional charge (CPT code(s): dependent upon the confirmed drug class).

Confirmation includes the following analytes within their associated drug class:
6-Acetylmorphine: 6-Acetylmorphine

Alcohol Metabolites: Ethyl Glucuronide (ETG), Ethyl Sulfate (ETS)

Amphetamines: Amphetamine, Methamphetamine

Barbiturates: Amobarbital, Butalbital, Pentobarbital, Phenobarbital, Secobarbital

Benzodiazepines: Alphahydroxyalprazolam, Alphahydroxymidazolam, Alphahydroxytriazolam, Aminoclonazepam, Hydroxyethylflurazepam, Lorazepam, Nordiazepam, Oxazepam, Temazepam

Marijuana Metabolite: Marijuana Metabolite

Cocaine Metabolite: Benzoylecgonine

Methadone Metabolite: EDDP, Methadone

Opiates: Codeine, Hydrocodone, Hydromorphone, Morphine, Norhydrocodone

Oxycodone: Noroxycodone, Oxycodone, Oxymorphone

Preferred Specimen
40 mL urine collected in clinical drug transport vial

Minimum Volume
10 mL

Other Acceptable Specimens
Urine collected in urine collection container

Transport Temperature
Room temperature

Specimen Stability
Room temperature: 5 days
Refrigerated: 7 days
Frozen: 30 days

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Preserved samples

Screen: Immunoassay (IA) • Confirmation: Mass Spectrometry (MS)

Setup Schedule
Set up: Daily; Report available: 3 days

Reference Range
See Laboratory Report

Clinical Significance
The management of patients use of controlled substances is an increasing focus of law enforcement to ensure that prescribed medications arent diverted, and is critical to the successful outcome of many pharmaco-therapies. Urine drug testing for the presence or absence of prescribed medications and illicit drugs is a strategy designed to help the treating physician monitor their patients for compliance with that physicians directive(s).

Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153

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.