| SPECIMEN REQUIREMENTS | |
| Container Type | Random urine |
| Supply Item Number |  1387 |
| Specimen Type | Random urine |
| Preferred Volume | 30 mL |
| Emergency Minimum Volume | 15 mL |
| Collection Procedure | Collect a random urine in a leakproof plastic urine container. |
| Store and Transport | Ambient (room temperature) |
| Stability | Room Temp 10 days Refrigerated 1 month |
| CPT Codes | 80307 |
| Interface Order Code | 80100.Z200 |
| Billing Code | DA4000 |
| Test Schedule | Mon-Sat |
| Turnaround Time | 1-3 days |
| Method | Enzyme Immunoassay |
| Reference Ranges | | Title | Descriptor | Ranges | Units | | Urine Creatinine | Normal | > 19 | mg/dL | | Urine pH | Normal | 4.5-9.0 | | Urine Specific Gravity | Normal | 1.003-1.020 | | Phencyclidine (PCP) Screen | Negative | < 25 | ng/mL | | Ecstasy Screen | Negative | < 500 | ng/mL | | Barbiturates Screen | Negative | < 200 | ng/mL | | Cannabinoid Screen | Negative | < 50 | ng/mL | | Methadone Metabolite Screen | Negative | < 100 | ng/mL | | Amphetamines Screen | Negative | < 500 | ng/mL | | Benzodiazepines Screen | Negative | < 200 | ng/mL | | Cocaine (BEG) Screen | Negative | < 150 | ng/mL | | Opiates Screen | Negative | < 300 | ng/mL | | Oxycodone Screen | Negative | < 100 | ng/mL | | 6MAM Screen | Negative | < 10 | ng/mL | | Propoxyphene Screen | Negative | < 300 | ng/mL |
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| Compliance Remarks | This 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. |
| Notes | The DA4000 offers a qualitative screen and quantitative confirmation for the licit and illicit drugs listed above. |
| Reflex Testing | | Reflex Condition | Reflex Test Name | Reflex CPT codes | Reflex Billing codes | | Cannabinoid Screen Positive | MSTHC | 80349 | BMSTHC | | Cocaine Screen Positive | MSCOC | 80353 | BMSCOC | | Amphetamines Screen Positive | MSAPX | 80324, 80359 | BMSAPX | | Opiates Screen Positive | LCOP9 | 80356, 80365, 80361 | BLCOP9 | | Oxycodone Screen Positive | LCOP9 | 80356, 80365, 80361 | BLCOP9 | | Benzodiazepines Screen Positive | BENZLC | 80347 | BBENZL | | Phencyclidine (PCP) Screen Positive | MSPCP | 83992 | BMSPCP | | Ecstasy Screen Positive | MSAPX | 80324, 80359 | BMSAPX | | Barbiturates Screen Positive | MSBAR | 80345 | BMSBAR | | Propoxyphene Screen Positive | MSPRO | 80367 | BMSPRO | | Methadone Screen Positive | MSMET | 80358 | BMSMET | | 6MAM Screen Positive | LCOP9 | 80356, 80365, 80361 | BLCOP9 |
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1387