Pain Management, Benzodiazepines, with Confirmation, with medMATCH, Urine

Last Modified: 6/16/2022 8:34:28 AM


Medical Necessity Documentation:  
Client Notes:  Please contact 266-1500 (Option 1) to acquire the appropriate specimen type
Patient Preparation:  
Specimen Requirements: 20.0 mL Urine in a Green Clinical Drug Test Collection Cup
Collection Instructions:  
Minimum Volume: 7.0 mL Urine
Transport & Storage: Temperature/Stability: 14 days Ambient
14 days Refrigerated
30 days Frozen

Transport Ambient
Rejection Criteria: Preserved samples
Reference Range:
Benzodiazepines <100 ng/mL
Alphahydroxyalprazolam <25 ng/mL
Alphahydroxymidazolam <50 ng/mL
Alphahydroxytriazolam <50 ng/mL
Aminoclonazepam <25 ng/mL
Hydroxyethylflurazepam <50 ng/mL
Lorazepam <50 ng/mL
Nordiazepam <50 ng/mL
Oxazepam <50 ng/mL
Temazepam <50 ng/mL
Critical Ranges:  
Test Comments: If Screen is positive, a confirmation will be performed at an additional charge (CPT code(s): 80346 G6031).
Methodology: Immunoassay (IA) • Confirmation: Mass Spectrometry (MS)
Clinical Significance: The management of patients use of controlled substances is an increasing focus of law enforcement to ensure that prescribed medications arent diverted, and is critical to the successful outcome of many pharmaco-therapies. Urine drug testing for the presence or absence of prescribed medications and illicit drugs is a strategy designed to help the treating physician monitor their patients for compliance with that physicians directive(s).
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 3 to 4 days
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Quest - Chantilly
PHL Test Code: MSOT
EPIC Test Code: MISC
Send Out Test Code: 39371
Included Tests:  
CPT Coding: 80307

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