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DRUGS OF ABUSE 201 RFLX

Test Code
DA201
 
This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary.
This test is a lab developed test. For further information, see the Compliance Remarks section below.
SPECIMEN REQUIREMENTS
Container TypeRandom urine
Supply Item Numberpicture1387
Specimen TypeRandom urine
Preferred Volume30 mL
Emergency Minimum Volume15 mL
Collection ProcedureCollect a random urine in a leakproof plastic urine container.
Store and TransportAmbient (room temperature)
StabilityRoom Temp 10 days  Refrigerated 1 month  
CPT Codes80307
Interface Order Code80100.Z184
Billing CodeDA201
Test ScheduleMon-Sat
Turnaround Time1-3 days
MethodEnzyme Immunoassay
Reference Ranges
TitleDescriptorRangesUnits
Urine CreatinineNormal> 19mg/dL
Urine pHNormal4.5-9.0
GlucoseNegative< 20mg/dL
Urine Specific GravityNormal1.003-1.020
Cannabinoid ScreenNegative< 50ng/mL
Cocaine (BEG) ScreenNegative< 150ng/mL
Ethanol ScreenNegative< 20mg/dL
Compliance RemarksThis test was developed and its performance characteristics determined by PAML. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing.
NotesThe DA201 offers a qualitative screen and quantitative confirmation for the licit and illicit drugs listed above.
Reflex Testing
Reflex ConditionReflex Test NameReflex CPT codesReflex Billing codes
Cannabinoid Screen PositiveMSTHC80349BMSTHC
Cocaine Screen PositiveMSCOC80353BMSCOC
Ethanol Screen PositiveGCALC80320BALC

Interface Codes
typeorder codetest descriptionresult coderesult descriptionunitsdecimal placesloinc code
o80100.Z184Drugs of Abuse 201
r80100.Z184Drugs of Abuse 20180100.Z179Toxicology Glucosemg/dL 
r80100.Z184Drugs of Abuse 20180100.Z180Yeast  
r80100.Z184Drugs of Abuse 20180101.Z24Ethanol, Urinemg/dL 42242-8
r80100.Z184Drugs of Abuse 20180101.Z6Cannabinoid Screenng/mL 70145-8
r80100.Z184Drugs of Abuse 20180101.Z8Cocaine Screenng/mL 43984-4
r80100.Z184Drugs of Abuse 20180102.Z26Cocaine Metab (GCMS)ng/mL 53743-1
r80100.Z184Drugs of Abuse 20180102.Z38Carboxy-THC (GCMS)ng/mL 20521-1
r80100.Z184Drugs of Abuse 20180102.Z60Urine Alcohol (GC)mg/dL 5645-7
r80100.Z184Drugs of Abuse 20181000.Z15Toxicology Specific Gravity 35811-5
r80100.Z184Drugs of Abuse 20182570.Z15Tox Creatininemg/dL02161-8
r80100.Z184Drugs of Abuse 20183986.Z9Toxicology pH  2756-5

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