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Epic Code LAB2111041 Drug Screen without Alcohol, Immunoassay, Urine (Inpatient Only)

Test Name Alias

UDS

Interface Order Alias

10359

Quick Collect

Random/A

Clinical Information

Link: Reflex Information

Ordering Instructions

Inpatient collection only

United Lab: Outpatient/Offsite collection is acceptable for non-chain of custody urines

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:

  • Include Chain of Custody form when appropriate
  • Samples should be within the normal physiological pH range of 4.0 – 8.50
  • 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.
  • Detailed Instructions (link): Urine Collection Guide for Staff

Processing Instructions

  • Centrifuge highly turbid specimens before testing

Specimen Stability

Ambient: 72 hours

Refrigerate: 14 days

Frozen: 14 days

Laboratory Retention: 10 days

Test Frequency

Available 24 hours, usual TAT 1 day.

STAT TAT 1 hour.

Reference Range

Screen Cutoff Limits:

 

Amphetamines 500 ng/mL

Barbiturates 200 ng/mL

Benzodiazepines 300 ng/mL

Cannabinoids 50 ng/mL

Cocaine/Metab. 150 ng/mL

Methadone 300 ng/mL

Opiates 300 ng/mL

Oxycodone 100 ng/mL

 

SCREENING PROCEDURE ONLY. Positives are not confirmed except where established by Laboratory policy. For other specimens, confirmation testing must be ordered by the physician. The Laboratory recommends that no legal action be taken on a positive screen result without confirmatory testing being performed.

 

Screening procedures generally target only one or a few specific drugs of a given class. Other drugs of the class may or may not cross react. Comprehensive Drug Screen may detect drugs not detected by this screening procedure.

 

pH and SG testing are performed to evaluate specimen integrity. Results outside the indicated ranges may or may not indicate an attempt by the patient to adulterate or otherwise compromise the specimen. Repeat testing on a new collection may be indicated if there is a question as to specimen integrity.

 

All urine drug screen specimens are stored for 10 days. Contact the Toxicology laboratory at 267-2780 for questions about confirmation testing, cross reactivity, Comprehensive Drug Screen, or specimen integrity testing.

 

pH Screen UR
     4.0 – 8.50

SG Screen UR
     1.003 – 1.030

 

Performing Department

Multiple Departments

Toxicology or Chemistry

Performing Department Laboratory Location

Corewell Health Reference Laboratory West, Grand Rapids, MI
Corewell Health Big Rapids Laboratory, Big Rapids, MI
Corewell Health Blodgett Laboratory, Grand Rapids, MI
Corewell Health Gerber Laboratory, Fremont, MI
Corewell Health Ludington Laboratory, Ludington, MI
Corewell Health Pennock Laboratory, Hastings, MI
Corewell Health Reed City Laboratory, Reed City, MI
Corewell Health Greenville Laboratory, Greenville, MI
Corewell Health Zeeland Laboratory, Zeeland, MI

Methodology

Kinetic Interaction of Micro particles in a Solution (KIMS) / Enzyme Immunoassay (EIA)

CPT

Linked chargeables:
HC DRUG SCREEN CLASS A [80307 (CPT®)],
CHG DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY [80305 (CPT®)],
PR URINALYSIS, AUTO, W/O SCOPE [81003 (CPT®)],
CHG DRUG TEST PRSMV QUAL INSTRMNT OPTCL OBS PER DAY [80306 (CPT®)],
CHG DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS [80307 (CPT®)]

CDM Code

3018030716

Epic Test ID

1230100633

Reviewed Date

2/15/2023

Updated Date

3/28/2024 - Order name and performing department