Pain Management Profile 5 with Confirmation, with D/L Isomers, Urine

Last Modified: 6/24/2021 6:39:49 AM


  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  Please contact 266-1500 (Option 1) to acquire the appropriate specimen type
Patient Preparation:  
Specimen Requirements: 30.0 mL Urine in a Green Clinical Drug Test Collection Cup 
Collection Instructions:  
Minimum Volume: 7.0 mL Urine
Transport & Storage: Temperature/Stability: 5 days Ambient (Transport)
7 days Refrigerated
30 days Frozen
Rejection Criteria: Preserved samples
Reference Range:
Creatinine                               ≥20.0 mg/dL
Specific Gravity                      ≥1.003
pH                                             4.5-9.0
Oxidant                                   <200 µg/mL
Amphetamines                    <500 ng/mL
   Amphetamine                        <250 ng/mL
   Methamphetamine                 <250 ng/mL
Barbiturates                          <300 ng/mL
   Amobarbital                           <100 ng/mL
   Butalbital                               <100 ng/mL
   Pentobarbital                        <100 ng/mL
   Phenobarbital                       <100 ng/mL
   Secobarbital                         <100 ng/mL
Benzodiazepines                 <100 ng/mL
   Alphahydroxyalprazolam     <50 ng/mL
   Alphahydroxytriazolam        <50 ng/mL
   Lorazepam                           <50 ng/mL
   Midazolam                            <50 ng/mL
   Nordiazepam                        <50 ng/mL
   Oxazepam                            <50 ng/mL
   Temazepam                          <50 ng/mL
Marijuana Metabolite          <20 ng/mL
   Marijuana Metabolite             <5 ng/mL
Cocaine Metabolite             <150 ng/mL
   Benzoylecgonine                  <100 ng/mL
Methadone                            <150 ng/mL
   EDDP                                     <100 ng/mL
   Methadone                            <100 ng/mL
Opiates                                   <100 ng/mL
   Codeine                                 <50 ng/mL
   Morphine                               <50 ng/mL
   Hydrocodone                        <50 ng/mL
   Hydromorphone                    <50 ng/mL
Oxycodone                            <100 ng/mL
   Oxycodone                           <50 ng/mL
   Oxymorphone                       <50 ng/mL
Critical Ranges:  
Test Comments: Quantitative confirmation of positives will be performed at an additional charge if indicated by screening results.  (CPT code(s): 80324 G6042 and/or 80345 G6043 and/or 80349  G6058 and/or  80353 G6044 and/or 80358 G6053 and/or 80365 G6056 and /or 80374 G6042).
Methodology: Screen: 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:

Quantitative confirmation of positives will be performed at an additional charge (CPT code(s): dependent upon the confirmed drug class).

If the Methamphetamine is reported Positive (≥250 ng/mL), Pain Management, Methamphetamine, D/L Isomers, Urine will be performed at an additional charge (CPT code(s): 80374).

 
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 2 to 3 days
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Quest - Chantilly
PHL Test Code: PAINZ
EPIC Test Code: LAB2860
Send Out Test Code: 39427
Alternate Test Names: Pain Management Profile 5 D&L Isomers
Included Tests: Cocaine Metabolite;Creatinine; Oxidant, pH; Amphetamines; Barbiturates; Benzodiazepines; Marijuana Metabolite;  Methadone Metabolite; Opiates; Oxycodone
CPT Coding: 80307, 83986

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