Drug Monitoring, Opioids Panel, with Confirmation, Urine

Test Code

UHYDROCODONE

Quest Code

39013

Includes

If you require medMATCH for this order code, you must also order code 39158 - Prescribed Drugs, medMATCH®. If 39158 is ordered, all Drug Monitoring order codes will be treated as medMATCH.

If this test code is not ordered with 39158, all medMATCH result codes will be DNR’d.
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Buprenorphine, Fentanyl, Heroin Metabolite, Methadone, Methorphan, Mitragynine, Opiates, Tapentadol, Tramadol

If screening drug class result is equal to or greater than the cutoff, then confirmation testing will be performed at an additional charge (CPT code(s): dependent on the drug class being confirmed - Buprenorphine/Naloxone - 80348, 80362, Fentanyl - 80354, Heroin Metabolite - 80356, Methadone - 80358, Methorphan - 80362, Mitragynine - 80362, Opiates - 80361, 80365, Tapentadol - 80372, Tramadol - 80373 or HCPCS: G0480)

Preferred Specimen

1 mL random urine

Minimum Volume

0.5 mL

Transport Container

Plastic urine container

Transport Temperature

Room temperature

Specimen Stability

Room temperature: 7 days
Refrigerated: 14 days
Frozen: 21 days

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

Preserved samples

Methodology
Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule

10: 00 a. M. Tues-sun

Report Available

3-4 days

Reference Range

Buprenorphine
Buprenorphine	<2 ng/mL
Norbuprenorphine	<2 ng/mL
Naloxone	<2 ng/mL
Fentanyl
Fentanyl	<0.5 ng/mL
Norfentanyl	<0.5 ng/mL
Heroin Metabolite
Heroin Metabolite	<10 ng/mL
Methadone
Methadone	<100 ng/mL
EDDP	<100 ng/mL
Methorphan
Dextromethorphan	<20 ng/mL
Dextrorphan	<20 ng/mL
Mitragynine
Mitragynine	<2 ng/mL
Opiates
Codeine	<50 ng/mL
Hydrocodone	<50 ng/mL
Hydromorphone	<50 ng/mL
Norhydrocodone	<50 ng/mL
Morphine	<50 ng/mL
Oxycodone	<50 ng/mL
Oxymorphone	<50 ng/mL
Noroxycodone	<50 ng/mL
Tapentadol
Tapentadol	<50 ng/mL
Nortapentadol	<50 ng/mL
Tramadol
Tramadol	<100 ng/mL
O desmethyltramadol	<100 ng/mL

Clinical Significance

Monitoring of parent compounds and their metabolites in urine. The results of this test are used in specific treatment programs to determine compliance with prescribed dosing schedules.

Performing Laboratory

Quest Diagnostics Nichols Institute-Valencia

8407 Fallbrook Ave, Suite 100

West Hills, CA 91304-3226

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.