Drug Confirmation, Opioid, Urine

General Information

Lab Name

Opioid Confirmation, Urine

Lab Code

UOPIAC

Epic Name

Opioid Confirmation, Urine

Description

This panel includes review and interpretation by a Clinical Pathologist with additional charge.

Pretreatment / hydrolysis NOT performed. Analysis by liquid chromatography-tandem mass spectrometry. Quantitative results are reported for all analytes between 10 to 10,000 ng/mL [except 6 acetylmorphine (5- 10,000) and fentanyl (0.25 - 250.0)]. The qualitiative threshold is 50 ng/mL for all analytes (except ethyl glucuronide 500 ng/mL). Assay imprecision is between 10 and 25% (compound dependent).

For Drug confirmation without consult, see Lab Opioid Confirmation without Consult, Urine [UOPIAN]

Synonyms

6-monoacetyl Morphine, Buprenorphine, Codiene, Fentanyl, Hydrocodone, Hydromorphone, Meperidine, Methadone Confirmation, Morphine, Norfentanyl, Normeperidine, Opiate confirmation, opiates, opioids, Oxycodone, Oxymorphone, Propoxyphene

Components

Code Name
UINT Opioid Confirm Interp, URN
UHMOR Hydromorphone Quant, URN
UHCOD Hydrocodone Quant, URN
UNHCOD Norhydrocodone Quant, URN
UMOR6 6 monoacetyl Morphine Quant, URN
UMPERM Normeperidine Quant, URN
UMPER Meperidine Quant, URN
UMETH Methadone Quant, URN
UEDDP EDDP Quant, URN
UOXYM Oxymorphone Quant, URN
UOXCD Oxycodone Quant, URN
UPPOX Propoxyphene Quant, URN
UBUPR Buprenorphine Quant, URN
UMORPH Morphine Quant, URN
UCOD Codeine Quant, URN
UFENTM Norfentanyl Quant, URN
UFENT Fentanyl Quant, URN
UMOR3G Morphine_3_Glucuronide Ql, URN
UMOR6G Morphine_6_Glucuronide Ql, URN
UHMORG Hydromorphone Gluc. Qual, URN
UOXYMG Oxymorphone Gluc. Qual, URN
UCOD6G Codeine_6_Glucuronide Ql, URN
UNBUPG Norbuprenorphine Gluc. Ql,URN
UTRMQL Tramadol Qual, URN
UDSINT Drug Screen Test Info, URN

Interpretation

Method

Pretreatment / hydrolysis NOT performed. Analysis by liquid chromatography - tandem mass spectrometry.

Reference Range

See individual components

Ordering & Collection

Specimen Type

Random Urine

Collection

Random Urine

Handling Instructions

Outside Laboratories: Specimen is stable refrigerated up to 7 days. Freeze urine at -20°C if testing will not be performed within 7 days.

Quantity

requested: 3 mL Urine
minimum: 0.5 mL Urine

Processing

Aliquot 3mL of urine into a 12x75 (5 ml) polypropylene aliquot tube for UOPIAC. Specimen is stable refrigerated up to 7 days. Freeze urine at -20°C if testing will not be performed within 7 days.

Performance

LIS Dept Code

Chemistry, University (CHU)

Performing Location(s)

HMC Chemistry
206-520-4600

325 9th Ave, Rm # GWH-47, Seattle, WA 98104-2420

Frequency

Weekly

Available STAT?

No

Billing & Coding

CPT codes

G0481

LOINC

18390-5

Interfaced Order Code

UOW1488