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LCOH w/ Confirmation
MessageFor Specimen Integrity during Extreme Weather see the “Lockbox Usage in Extreme Weather” document at the top of this page.
Test Code
LCOHCF
CPT Codes
80307
Includes
Amphetamines, Barbiturates, Benzodiazepine, Buprenorphorine, Cocaine Metabolites, Marijuana Metabolites, Methadone Metabolite, EDDP, Fentanyl, Opiate, Oxycodone, Prophoxyphene, TCA 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:
Amphetamines: Amphetamine, Methamphetamine, MDMA, MDEA, MDA
Barbiturates: Amobarbital, Butalbital, Butabarbital, 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
Propoxyphene: Propoxyphene, Norpropoxyphene
Buprenorphine: Buprenorphine, Norbuprenorphine, Naloxone
Tricyclic Antidepressants: Amitriptyline, Nortriptyline, Desipramine, Impramine
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:
Amphetamines: Amphetamine, Methamphetamine, MDMA, MDEA, MDA
Barbiturates: Amobarbital, Butalbital, Butabarbital, 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
Propoxyphene: Propoxyphene, Norpropoxyphene
Buprenorphine: Buprenorphine, Norbuprenorphine, Naloxone
Tricyclic Antidepressants: Amitriptyline, Nortriptyline, Desipramine, Impramine
Preferred Specimen
20 mL Random Urine
Minimum Volume
3 mL
Transport Container
Random urine collected in a sterile, leak-proof urine container
Transport Temperature
Refrigerated
Specimen Stability
Screen:
Room Temperature = n/a
Refrigerated = 5 days
Frozen = n/a
Confirmation:
Room Temperature = 3 days
Refrigerated = 8 days
Frozen = n/a
Room Temperature = n/a
Refrigerated = 5 days
Frozen = n/a
Confirmation:
Room Temperature = 3 days
Refrigerated = 8 days
Frozen = n/a
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Preserved sample
Methodology
Screen: Immunoassay (IA)
Confirmation: LC/MS/MS
Setup Schedule
Screen: 24/7
Confirmation: M - F 1st Shift
TOX
Confirmation: M - F 1st Shift
TOX
Report Available
Screen: 1 day
Confirmation: 3 days
Confirmation: 3 days
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
CompuNet Clinical Laboratories, LLC
2308 Sandridge Drive
Moraine, Ohio 45439
Last Updated: November 22, 2021
