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Epic Code LAB1230496 Urine Drug Confirmation (23 Targets)

Test Name Alias

UDS | DOA

Interface Order Alias

1230496

Panel Information

23 Panel Includes LC-MS Confirmation for:

Target Drug Common Names and Metabolites
Amphetamines

Amphetamine

Adderall®, Dexedrine®, Vyvanse®

Methamphetamine

 
Benzodiazepines

Oxazepam

Serax®  Also a metabolite of Valium®, Librium®, Restoril®

Lorazepam

Ativan®

Nordiazepam

Metabolite of Valium®, Librium®

Temazepam

Restoril®  Also a metabolite of Valium®

Alprazolam

Target α-OH, Xanax®

Clonazepam

Target 7-amino, Klonopin®
Cocaine

Benzoylecgonine

Cocaine metabolite
Fentanyl

Fentanyl

Duragesic®

Norfentanyl

 
Marijuana (THC Metabolite)

11-nor-9-carboxy-THC

 
Methadone

Methadone

Dolophine®

EDDP

Methadone metabolite
Opiates

Codeine

Tylenol 3®   A small percentage of codeine can metabolize into hydrocodone.

Morphine

Avinza®, Kadian®, MS Contin®. Metabolite of codeine (10%). Metabolite of 6-MAM. Can also be seen in low concentrations with poppy seed ingestion(<2000 ng/mL). 

6-MAM

Heroin Metabolite (6-Monacetylmorphine)

Oxycodone

Endocet®, Percocet®, Oxycontin®

Oxymorphone

Numorphan®, Opana ER®  Also a metabolite of oxycodone

Hydrocodone

Lortab®, Norco®, Vicodin®

Hydromorphone

Dilaudid®, Exalgo®  Also a metabolite of hydrocodone and a minor (<5%) metabolite of morphine
Tramadol

Tramadol 

Ultram®

Tramadol metabolite

 

 

Includes Adulterants (pH, SG, and creatinine)

 

 

 

Collection Instructions

Specimen Collection: Urine, Random

 

Container(s):  Preferred: Sterile Urine Cup or Pale Yellow Top Urine Tube-no preservative

Uscreen and iSCREEN POC (Point of Care) urine drug testing cups are acceptable but not preferred

Preferred Volume to Collect: 10.0 mL

Minimum Volume to Collect: 1.0 mL

 

Collection Instructions:

  • Keep container upright at all times and check that lid is fastened evenly and securely.
  • Do not send container home with patient, must be collected on site.
  • Do not open container after collection.

Processing Instructions (Laboratory, Outpatient or Off-site collection)

Transport Temperature: Refrigerate

Specimen Stability

Ambient: 72 hours

Refrigerate: 14 days

Frozen: 14 days

Laboratory Retention: 10 days

Test Frequency

Available Monday through Friday (dayshift), TAT 2 - 3 days.

Reference Range

See document for cutoff and interpretation information: Drug Cutoff and Interpretation Data

 

Creatinine UR

Samples with creatinine <20 mg/dL may be too dilute for accurate drug detection.  

 

pH Screen UR

4.00 – 8.50

 

SG Screen UR

1.003 – 1.030

Performing Department

Toxicology

Performing Department Laboratory Location

Corewell Health Reference Laboratory, Grand Rapids, MI

Methodology

LC/MS, Enzymatic, Colorimetric

CPT

80373, 80307, 80324, 80346, 80349, 80353, 80354, 80356, 80358, 80361, 80365

CDM Code

3018037301, 3018030707, 3018032403, 3018034606, 3018034903, 3018035304, 3018035401, 3018035602, 3018035801, 3018036102, 3018036501

Epic Test ID

1230102116

Mayo Access Code

SHO1230496

Reviewed Date

2/15/2023