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

Overview

  • EPIC Code:
  • LAB2860
  • Soft Test Code:
  • PAINZ
  • Send Out Test Code:
  • 39427
Alternate Names
  • Pain Management Profile 5 D&L Isomers
Included Tests

Cocaine Metabolite;Creatinine; Oxidant, pH; Amphetamines; Barbiturates; Benzodiazepines; Marijuana Metabolite;  Methadone Metabolite; Opiates; Oxycodone


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).

 


Specimen Collection & Preparation

Client Notes

 Please contact 266-1500 (Option 1) to acquire the appropriate specimen type


Specimen Requirements

30.0 mL Urine in a Green Clinical Drug Test Collection Cup 


Transport And Storage

5 days Ambient (Transport)
7 days Refrigerated
30 days Frozen


Collection Instructions

 


Minimum Volume

7.0 mL Urine


Neonatal Volume

Clinical Interpretation

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


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:
  • Confirmation: Mass Spectrometry (MS)
  • Screen: Immunoassay (IA)
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).

 


Production Schedule

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

2 to 3 days


Coding & Compliance

CPT Coding

80307, 83986


Medical Necessity May Apply