Benzodiazepines, Quantitative, Urine

Overview

  • EPIC Code:
  • Soft Test Code:
  • MSOT
  • Send Out Test Code:
  • 39389
Alternate Names
  • Prescription Drug Monitoring Pain, Alprazolam
  • Prescription Drug Monitoring Pain, Chlodiazepoxide
  • Prescription Drug Monitoring Pain, Clonazepam
  • Prescription Drug Monitoring Pain, Diazepam
  • Prescription Drug Monitoring Pain, Flurazepam
  • Prescription Drug Monitoring Pain, Midazolam
  • Prescription Drug Monitoring Pain, Triazolam
  • Prescription Drug Monitoring.Pain Clorazepate
Included Tests

Alphahydroxyalprazolam; Alphahydroxymidazolam; Alphahydroxytriazolam; Aminoclonazepam; Hydroxyethylflurazepam; Lorazepam; Nordiazepam; Oxazepam; Temazepam


Clinical Significance

The benzodiazepine class of drugs are traditionally classified as depressants. They are used therapeutically to produce sedation, induce sleep, relieve anxiety, treat muscle spasms, and to prevent seizures. In general, benzodiazepines act as hypnotics in high doses, anxiolytics in moderate doses, and sedatives in low doses. The test is a definitive assay using liquid chromatography mass spectroscopy (LC/MS/MS) methodology. Therapeutic urine drug monitoring of the benzodiazepines is important for ensuring compliance to treatment strategies, as well as ensuring non-diversion for illicit purposes. Urine or oral fluid are the specimens of choice for routine monitoring of patients taking prescription drugs. Use of serum/plasma should be limited to anuretic patients, or where a patient's clinical appearance does not coincide with their prescribed medications. No single monitoring approach provides adequate information about the pattern or dose of patient drug use. Safest prescribing habits should include a combination of tools and laboratory test results to correctly detect drug use patterns. Quantitative values cannot be used to assess the drug dose, because the drug is extensively metabolized and excreted in the urine. 


Specimen Collection & Preparation

Specimen Requirements:

-OR-

3.0 mL urine submitted in a Clinical Drug Test transport vial
Minimum Volume:
2.0 mL Urine*

* This volume does not allow for repeat testing

Rejection Criteria:

Preserved samples 


Transport and Storage:
  • Ambient: 14 Days

    Transport 

  • Refrigerated: 14 Days
  • Frozen (-20 C or colder): 30 Days

Clinical Interpretation

Reference Range:

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


Methodology:
  • Mass Spectrometry (MS)

Clinical Significance

The benzodiazepine class of drugs are traditionally classified as depressants. They are used therapeutically to produce sedation, induce sleep, relieve anxiety, treat muscle spasms, and to prevent seizures. In general, benzodiazepines act as hypnotics in high doses, anxiolytics in moderate doses, and sedatives in low doses. The test is a definitive assay using liquid chromatography mass spectroscopy (LC/MS/MS) methodology. Therapeutic urine drug monitoring of the benzodiazepines is important for ensuring compliance to treatment strategies, as well as ensuring non-diversion for illicit purposes. Urine or oral fluid are the specimens of choice for routine monitoring of patients taking prescription drugs. Use of serum/plasma should be limited to anuretic patients, or where a patient's clinical appearance does not coincide with their prescribed medications. No single monitoring approach provides adequate information about the pattern or dose of patient drug use. Safest prescribing habits should include a combination of tools and laboratory test results to correctly detect drug use patterns. Quantitative values cannot be used to assess the drug dose, because the drug is extensively metabolized and excreted in the urine. 


Production Schedule

Sites Performed
  • Quest - Chantilly
Days Performed
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Departments
  • Sendouts - Miscellaneous
Turn Around Time

3 to 4 days


Coding & Compliance

CDM

00913333


CPT Coding

80346 (HCPCS: G0480)