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Test Code DT PMP Drug Test Urine Pain Management Panel

Useful For

Detection of drugs of abuse in urine. Used to monitor compliance for pain management patients.

Patient Preparation

No special patient preparation required

Collection Method

Random urine

Minimum Volume

5 mL

Container

Sterile Cup

Preferred Specimen

30 mL freshly voided urine

Acceptable Specimens

5 mL freshly voided urine

Reference or Target Ranges

Screening Cutoff Levels Drug Test Urine Pain Management Panel
* EIA pain management screen performed on Olympus AU680
Drug Screening Cutoff
6-Acetylmorphine 10 ng/mL
Acetaminophen 25 ng/mL
Amphetamines 500 ng/mL
Barbiturates 300 ng/mL
Benzodiazepines 300 ng/mL
Buprenorphine 5 ng/mL
Cannabinoids (THC) 50 ng/mL
Carisoprodol 100 ng/mL
Cocaine 150 ng/mL
Ethanol 20 mg/dL
Fentanyl 10 ng/mL
Meperidine 100 ng/mL
Methadone 300 ng/mL
Opiates 300 ng/mL
Oxycodone 100 ng/mL
Phencyclidine (PCP) 25 ng/mL
Salicylate 5 ng/mL
Tramadol 100 ng/mL
Confirmation Cutoff Levels Drug Test Urine Pain Management
* Patients that screen positive for any of the above will be confirmed via solid phase extraction and GCMS analysis.
Drug Confirmation Cutoff
Benzodiazepines
7-Aminoclonazepam 100 ng/mL
Lorazepam 100 ng/mL
Nordiazepam 100 ng/mL
OH-Alprazolam 100 ng/mL
Oxazepam 100 ng/mL
Temazepam 100 ng/mL
Opiates
Codeine 300 ng/mL
Hydrocodone 300 ng/mL
Hydromorphone 300 ng/mL
Morphine 300 ng/mL
Oxycodone 300 ng/mL
Oxymorphone 300 ng/mL
Amphetamines
Amphetamine 250 ng/mL
Methamphetamine 250 ng/mL
MDA (Methylenedioxyamphetamine) 250 ng/mL
MDMA (Methylenedioxymethamphetamine) 250 ng/mL
MDEA (Methylenedioxyethylamphetamine) 250 ng/mL
Barbiturates
Amobarbital 100 ng/mL
Butalbital 100 ng/mL
Pentobarbital 100 ng/mL
Phenobarbital 100 ng/mL
Secobarbital 100 ng/mL
Drug Test Urine Comprehensive Limit of Quantitation (LOQ)
* Drugs included in pain management drug test performed by GCMS analysis
Drug LOQ
Amphetamine 125 ng/mL
Alprazolam 20 ng/mL
Butalbital 100 ng/mL
Buprenorphine 50 ng/mL
Carisoprodol 100 ng/mL
Cocaine 20 ng/mL
Codeine 60 ng/mL
Clonazepam 20 ng/mL
Fentanyl 10 ng/mL
Hydrocodone 60 ng/mL
Hydromorphone 60 ng/mL
Methamphetamine 125 ng/mL
Meperidine 100 ng/mL
Methadone/EDDP 100 ng/mL
Morphine 60 ng/mL
Nordiazepam 20 ng/mL
Oxycodone 60 ng/mL
Oxymorphone 60 ng/mL
Oxazepam 20 ng/mL
Phenobarbital 100 ng/mL
Phencyclidine 20 ng/mL
Temazepam 20 ng/mL
Tramadol 100 ng/mL

The following drugs will have cutoff concentrations that vary depending upon which class members and/or metabolites are present. Some drugs are only detectable at toxic concentrations as the detection limits vary depending on the drug being identified:
6-Acetylmorphine, Acetaminophen, Amitriptyline, Aripiprazole, Bupropion, Caffeine, Carbamazepine, Chlorpheniramine, Gabapentin, Hydroxyzine, Ibuprofen, Imipramine/Desipramine, Ketamine, Lamotrigine, Levetiracetam, Lidocaine, Meprobamate/Carisoprodol, Methylphenidate, Metoprolol, Mirtazapine, Naproxen, Nicotine/Cotinine, Nortriptyline, Oxcarbazepine, Paroxetine, Phentermine, Phenytoin, Quetiapine, Quinine and/or Quinidine, Salicylate, Sertraline, Topiramate, Valproic Acid, Venlafaxine

Reportable Units

See table

Critical Value

Not defined for this assay

Reasons for Rejection

 

 

Hemolysis Threshold N/A
Icterus Threshold N/A
Lipemia Threshold N/A
Other QNS, contaminated, improperly labeled, improper specimen type

 

 

Specimen Stability

 

 

Ambient 7 days
Refrigerated (4°C to 8°C) 14 days
Frozen(-40°C to 0°C) 365 days

 

 

Performance Information

 

 

Days and Time Performed Monday – Friday 730 AM – 430 PM
Expected Turn Around Time 72 hours
Stat Availability No
Performing Bench Toxicology
Methodology/Method Description Screen: Olympus AU680 – EIA
Confirmation: Liquid/Liquid extraction, Solid phase extraction, Gas chromatography mass spectrometry

 

 

Additional Information/Important Notes

Patients that fall below the cutoff will be reported as negative.

CPT Codes

80307, G0483

Panel Components

Screen:

  •  
  • 6-Acetylmorphine
  •  
  • Acetaminophen
  •  
  • Amphetamines
  •  
  • Barbiturates
  •  
  • Benzodiazepines
  •  
  • Buprenorphine
  •  
  • Cannabinoids (THC)
  • Carisoprodol
  •  
  • Cocaine
  •  
  • Ethanol
  •  
  • Fentanyl
  •  
  • Meperidine
  •  
  • Methadone
  •  
  • Opiates
  •  
  • Oxycodone
  •  
  • Phencyclidine (PCP)
  •  
  • Salicylate
  •  
  • Tramadol