Drug Monitoring Panel 5 w/ Confirmation

Message
For Specimen Integrity during Extreme Weather see the “Lockbox Usage in Extreme Weather” document at the top of this page.


Test Code
PHRXPM


Alias/See Also
Prescription drugscreen


CPT Codes
80307

Includes
Initial screen: Amphetamines, Barbiturates, Benzodiazepine, Cocaine Metabolites, Fentanyl, Marijuana Metabolites, Methadone, Methadone Metabolites (EDDP), Opiates, Oxycodone, Specimen validity consisting of Creatinine, Oxidant, and pH testing. Heroin (6-Acetylmorphine (6-AM)) performed by confirmation method LCMSMS.

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
Fentanyl: Fentanyl, Norfentanyl
Methadone Metabolite: EDDP, Methadone
Opiates: Codeine, Hydrocodone, Hydromorphone, Morphine, Norhydrocodone Oxycodone: Noroxycodone,
Oxycodone, Oxymorphone Buprenorphine: Buprenorphine, Norbuprenorphine, Naloxone


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
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


Report Available
Screen: 1 day
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: March 28, 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.