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DRUGS OF ABUSE 803 RFLX

Test Code
DA803
 
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.Z193
Billing CodeDA803
Test ScheduleMon-Sat
Turnaround Time1-3 days
MethodEnzyme Immunoassay
Reference Ranges
TitleDescriptorRangesUnits
Urine CreatinineNormal> 19mg/dL
Urine pHNormal4.5-9.0
Urine Specific GravityNormal1.003-1.020
Phencyclidine (PCP) ScreenNegative< 25ng/mL
Barbiturates ScreenNegative< 200ng/mL
Cannabinoid ScreenNegative< 50ng/mL
Methadone Metabolite ScreenNegative< 100ng/mL
Amphetamines ScreenNegative< 500ng/mL
Cocaine (BEG) ScreenNegative< 150ng/mL
Opiates ScreenNegative< 300ng/mL
Oxycodone ScreenNegative< 100ng/mL
6MAM ScreenNegative< 10ng/mL
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 DA803 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
Amphetamines Screen PositiveMSAPX80324, 80359BMSAPX
Opiates Screen PositiveLCOP980356, 80365, 80361BLCOP9
Oxycodone Screen PositiveLCOP980356, 80365, 80361BLCOP9
Phencyclidine (PCP) Screen PositiveMSPCP83992BMSPCP
Barbiturates Screen PositiveMSBAR80345BMSBAR
Methadone Screen PositiveMSMET80358BMSMET
6MAM Screen PositiveLCOP980356, 80365, 80361BLCOP9

Interface Codes
typeorder codetest descriptionresult coderesult descriptionunitsdecimal placesloinc code
o80100.Z193Drugs of Abuse 803
r80100.Z193Drugs of Abuse 80380100.Z163MDEA (GCMS)ng/mL 27085-0
r80100.Z193Drugs of Abuse 80380100.Z168Noroxycodone (LCMSMS)ng/mL 61423-0
r80100.Z193Drugs of Abuse 80380100.Z169Norhydrocodone (LCMSMS)ng/mL 61420-6
r80100.Z193Drugs of Abuse 80380101.Z17Methadone Rflxng/mL 70149-0
r80100.Z193Drugs of Abuse 80380101.Z21Phencyclidine Screenng/mL 3937-0
r80100.Z193Drugs of Abuse 80380101.Z25Opiate Screenng/mL 8220-6
r80100.Z193Drugs of Abuse 80380101.Z31Amphet/Methamphet Screenng/mL 43983-6
r80100.Z193Drugs of Abuse 80380101.Z37Barbiturates Screenng/mL 70155-7
r80100.Z193Drugs of Abuse 80380101.Z55MDMA (GCMS)ng/mL018358-2
r80100.Z193Drugs of Abuse 80380101.Z56MDA (GCMS)ng/mL 20545-0
r80100.Z193Drugs of Abuse 80380101.Z6Cannabinoid Screenng/mL 70145-8
r80100.Z193Drugs of Abuse 80380101.Z656 MAM Screenng/mL019321-9
r80100.Z193Drugs of Abuse 80380101.Z66Oxycodone Screenng/mL019642-8
r80100.Z193Drugs of Abuse 80380101.Z8Cocaine Screenng/mL 43984-4
r80100.Z193Drugs of Abuse 80380102.Z1096 MAM (Heroin Metabolite) (LCMSMS)ng/mL 19593-3
r80100.Z193Drugs of Abuse 80380102.Z11Amphetamine (GCMS)ng/mL 20410-7
r80100.Z193Drugs of Abuse 80380102.Z12Methamphetamine (GCMS)ng/mL 16235-4
r80100.Z193Drugs of Abuse 80380102.Z14Amobarbital (GCMS)ng/mL 16239-6
r80100.Z193Drugs of Abuse 80380102.Z15Butalbital (GCMS)ng/mL 16237-0
r80100.Z193Drugs of Abuse 80380102.Z16Pentobarbital (GCMS)ng/mL 16240-4
r80100.Z193Drugs of Abuse 80380102.Z17Phenobarbital (GCMS)ng/mL 16241-2
r80100.Z193Drugs of Abuse 80380102.Z18Secobarbital (GCMS)ng/mL 16238-8
r80100.Z193Drugs of Abuse 80380102.Z26Cocaine Metab (GCMS)ng/mL 53743-1
r80100.Z193Drugs of Abuse 80380102.Z29Methadone Metab. by GC/MSng/mL 58429-2
r80100.Z193Drugs of Abuse 80380102.Z33Phencyclidine (GCMS)ng/mL 16254-5
r80100.Z193Drugs of Abuse 80380102.Z38Carboxy-THC (GCMS)ng/mL 20521-1
r80100.Z193Drugs of Abuse 80380102.Z81Morphine (LCMSMS)ng/ml 16251-1
r80100.Z193Drugs of Abuse 80380102.Z82Oxymorphone (LCMSMS)ng/ml 17395-5
r80100.Z193Drugs of Abuse 80380102.Z83Hydromorphone (LCMSMS)ng/ml 16998-7
r80100.Z193Drugs of Abuse 80380102.Z84Codeine (LCMSMS)ng/ml 16250-3
r80100.Z193Drugs of Abuse 80380102.Z85Oxycodone (LCMSMS)ng/ml 16249-5
r80100.Z193Drugs of Abuse 80380102.Z86Hydrocodone (LCMSMS)ng/ml 16252-9
r80100.Z193Drugs of Abuse 80381000.Z15Toxicology Specific Gravity 35811-5
r80100.Z193Drugs of Abuse 80382570.Z15Tox Creatininemg/dL02161-8
r80100.Z193Drugs of Abuse 80383986.Z9Toxicology pH  2756-5

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