Last Modified:
8/10/2021 12:55:59 PM
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:
Oxycodone |
<100 ng/mL |
Noroxycodone |
<50 ng/mL |
Oxycodone |
<50 ng/mL |
Oxymorphone |
<50 ng/mL |
Critical Ranges:
Test Comments:
If Screen is positive, a confirmation will be performed at an additional charge (CPT code(s): 80365 G6056).
Methodology:
Immunoassay (IA) • Confirmation: Mass Spectrometry (MS)
Clinical Significance:
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:
18992
Included Tests:
Noroxycodone; Oxycodone; Oxymorphone
CPT Coding:
80307
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