Clin Urine Expanded Opioid Confirm

Specimen Required
Colect random urin. Mix well and send 20.0 mL urine (3.0 mL) refrigerated in a screw-capped plastic urine container.

Rejection Criteria
Urine with preservative, vacutainer cup

Methodology
Liquid Chromatography - Tandem Mass Spectrometry

Stability
Room temperature: 48 hours; Refrigerated: 14 days; Frozen: 14 days

Reference Range
Confirmation (LC/MS/MS) Decision Limits
Fentanyl   1 ng/mL  
Norfentanyl   1 ng/mL  
Morphine   25 ng/mL  
Codeine   25 ng/mL  
Hydrocodone   25 ng/mL  
Hydromorphone   25 ng/mL  
Oxycodone   25 ng/mL  
Oxymorphone   25 ng/mL  
Naloloxne   5 ng/mL  
Buprenorphine   5 ng/mL  
Norbuprenorphine   5 ng/mL  
Tramadol   5 ng/mL  
O-desmethyltramadol   5 ng/mL  

Performed
Sunday-Friday

Turnaround Time4 days
Test CodeUCOPE
CPT-4 Code (s)
80361, 80365 (Opiates); 80348, 80362 (Buprenorphine & Metab); 80354 (Fentanyl & Metab); 80373 (Tramadol & Metab) (G0480)
LOINC Codes
Fentanyl   58381-5  
Norfentanyl   58383-1  
Morphine   16251-1  
Codeine   16250-3  
Hydrocodone   16252-9  
Hydromorphone   16998-7  
Oxycodone   16249-5  
Ocymorphone   17395-5  
Naloxone   77207-9  
Buprenorphine   49752-9  
Norbuprenorphine   49751-1  
Tramadol   20561-7  
O-desmethyltramadol   86453-8  
Creatinine   2161-8  
Adulterant   58715-4  

Warde
Medical
Laboratory