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Test Code LAB4078 URINE DRUG SCREEN

Important Note

This rapid urine drug secreen is performed at Kootenai Health. No confirmation of POSITIVE results is performed, unless the patient is in Labor and Delivery.

Specimen Type

Preferred Specimen: Yellow urine top, Gray urine top, Clear red top
Alternative Specimen: Leakproof Sterile Container

Collection Instructions

Must follow chain of custody and workplace drug collection protocol when indicated.

Adjust pH to be in the range of 4-11.

Centrifuge urines containing visible precipitates.

Specimen Volume

10 mL

Minimum Volume

6 mL

Turnaround Time

STAT: 1 hour
Routine: 4 hours

Test Schedule

Daily

Sample Stability

Refrigerated: 5 days

Method

Immunoassay

Reference Ranges

Amphetamine/Methamphet     Negative

Barbiturate                       Negative

Benzodiazepines             Negative

Buprenorphine             Negative

THC Screen                   Negative

Cocaine                           Negatvie

Fentanyl                           Negative 

Methadone                      Negative

Opiates                            Negative

Oxycodone                      Negative

Phencyclidine                  Negative

 

Drug Screen Concentration Cutoffs:

Amph/MethA: 500ng/mL

Barb: 200 ng/mL

Benzo: 200 ng/mL

Bupr: 5 ng/mL

THC: 50 ng/mL

Cocaine: 300 ng/mL

Fentanyl: 1 ng/mL

Methadone: 300 ng/mL

Opiates: 300 ng/mL

Oxycodone: 100 ng/mL

PCP: 25 ng/mL

 

Synonyms

drugs of abuse, DOA, udrug, LAB4078

Test Components

Screening test for: Amphetamines/Methamphetamine, Barbiturates, Benzodiazepines, Buprenorphine, THC (marijuna), Cocaine, Fentanyl, Methadone, Opiates, Oxycodone and Phencyclidine (PCP).

CPT Codes

80307, 82570

Notes

Kootenai Health drug screen reagent tests for compounds in the OPIATE class and not those in the OPIOID class. Heroin can be either an opiate or an opioid depending on what process was used to make it.

The main opiate medication that are picked up by our drug screen include:

  • Heroin
  • Codeine
  • Diethyl morphine
  • Ethyl Morphine
  • 6-Acetylmorphine
  • Diacetyl Morphine
  • Morphine-3-glucorondide (must be present in high doses)

Kootenai Health Opiate screen does not detect:

  • Hydrocodone
  • Thebaine
  • Hydromorphone
  • Meperidine
  • n-Norcodeine

If any questions arise about the Opiate screen, encourge the physician to order the confirmatory test offered by Mayo for the specific Opiate/Opioid in question.

 

Specimen Rejection

Any urine contaminated with fecal material or meconium.