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DRUGS OF ABUSE 4000 RFLX

Test Code
DA4000
 
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.Z200
Billing CodeDA4000
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
Ecstasy ScreenNegative< 500ng/mL
Barbiturates ScreenNegative< 200ng/mL
Cannabinoid ScreenNegative< 50ng/mL
Methadone Metabolite ScreenNegative< 100ng/mL
Amphetamines ScreenNegative< 500ng/mL
Benzodiazepines ScreenNegative< 200ng/mL
Cocaine (BEG) ScreenNegative< 150ng/mL
Opiates ScreenNegative< 300ng/mL
Oxycodone ScreenNegative< 100ng/mL
6MAM ScreenNegative< 10ng/mL
Propoxyphene ScreenNegative< 300ng/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 DA4000 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
Benzodiazepines Screen PositiveBENZLC80347BBENZL
Phencyclidine (PCP) Screen PositiveMSPCP83992BMSPCP
Ecstasy Screen PositiveMSAPX80324, 80359BMSAPX
Barbiturates Screen PositiveMSBAR80345BMSBAR
Propoxyphene Screen PositiveMSPRO80367BMSPRO
Methadone Screen PositiveMSMET80358BMSMET
6MAM Screen PositiveLCOP980356, 80365, 80361BLCOP9

Interface Codes
typeorder codetest descriptionresult coderesult descriptionunitsdecimal placesloinc code
o80100.Z200Drugs of Abuse 4000
r80100.Z200Drugs of Abuse 400080100.Z162Ecstasy (MDMA,MDEA,MDA) Screenng/mL 73971-4
r80100.Z200Drugs of Abuse 400080100.Z163MDEA (GCMS)ng/mL 27085-0
r80100.Z200Drugs of Abuse 400080100.Z168Noroxycodone (LCMSMS)ng/mL 61423-0
r80100.Z200Drugs of Abuse 400080100.Z169Norhydrocodone (LCMSMS)ng/mL 61420-6
r80100.Z200Drugs of Abuse 400080101.Z17Methadone Rflxng/mL 70149-0
r80100.Z200Drugs of Abuse 400080101.Z21Phencyclidine Screenng/mL 3937-0
r80100.Z200Drugs of Abuse 400080101.Z25Opiate Screenng/mL 8220-6
r80100.Z200Drugs of Abuse 400080101.Z29Propoxyphene Rflxng/mL 19429-0
r80100.Z200Drugs of Abuse 400080101.Z31Amphet/Methamphet Screenng/mL 43983-6
r80100.Z200Drugs of Abuse 400080101.Z36Benzodiazepine Screenng/mL 70141-7
r80100.Z200Drugs of Abuse 400080101.Z37Barbiturates Screenng/mL 70155-7
r80100.Z200Drugs of Abuse 400080101.Z55MDMA (GCMS)ng/mL018358-2
r80100.Z200Drugs of Abuse 400080101.Z56MDA (GCMS)ng/mL 20545-0
r80100.Z200Drugs of Abuse 400080101.Z6Cannabinoid Screenng/mL 70145-8
r80100.Z200Drugs of Abuse 400080101.Z656 MAM Screenng/mL019321-9
r80100.Z200Drugs of Abuse 400080101.Z66Oxycodone Screenng/mL019642-8
r80100.Z200Drugs of Abuse 400080101.Z8Cocaine Screenng/mL 43984-4
r80100.Z200Drugs of Abuse 400080102.Z1096 MAM (Heroin Metabolite) (LCMSMS)ng/mL 19593-3
r80100.Z200Drugs of Abuse 400080102.Z11Amphetamine (GCMS)ng/mL 20410-7
r80100.Z200Drugs of Abuse 400080102.Z12Methamphetamine (GCMS)ng/mL 16235-4
r80100.Z200Drugs of Abuse 400080102.Z14Amobarbital (GCMS)ng/mL 16239-6
r80100.Z200Drugs of Abuse 400080102.Z15Butalbital (GCMS)ng/mL 16237-0
r80100.Z200Drugs of Abuse 400080102.Z16Pentobarbital (GCMS)ng/mL 16240-4
r80100.Z200Drugs of Abuse 400080102.Z1647-Aminoflunitrazepam (LCMSMS)ng/mL 51777-1
r80100.Z200Drugs of Abuse 400080102.Z17Phenobarbital (GCMS)ng/mL 16241-2
r80100.Z200Drugs of Abuse 400080102.Z18Secobarbital (GCMS)ng/mL 16238-8
r80100.Z200Drugs of Abuse 400080102.Z26Cocaine Metab (GCMS)ng/mL 53743-1
r80100.Z200Drugs of Abuse 400080102.Z29Methadone Metab. by GC/MSng/mL 58429-2
r80100.Z200Drugs of Abuse 400080102.Z33Phencyclidine (GCMS)ng/mL 16254-5
r80100.Z200Drugs of Abuse 400080102.Z36Norpropoxyphene by GC/MSng/mL 17377-3
r80100.Z200Drugs of Abuse 400080102.Z38Carboxy-THC (GCMS)ng/mL 20521-1
r80100.Z200Drugs of Abuse 400080102.Z76Clonazepam (LCMSMS)ng/mL 16229-7
r80100.Z200Drugs of Abuse 400080102.Z78Flunitrazepam (LCMSMS)ng/mL120528-6
r80100.Z200Drugs of Abuse 400080102.Z81Morphine (LCMSMS)ng/ml 16251-1
r80100.Z200Drugs of Abuse 400080102.Z82Oxymorphone (LCMSMS)ng/ml 17395-5
r80100.Z200Drugs of Abuse 400080102.Z83Hydromorphone (LCMSMS)ng/ml 16998-7
r80100.Z200Drugs of Abuse 400080102.Z84Codeine (LCMSMS)ng/ml 16250-3
r80100.Z200Drugs of Abuse 400080102.Z85Oxycodone (LCMSMS)ng/ml 16249-5
r80100.Z200Drugs of Abuse 400080102.Z86Hydrocodone (LCMSMS)ng/ml 16252-9
r80100.Z200Drugs of Abuse 400080154.Z34Diazepam (LCMSMS)ng/mL 16227-1
r80100.Z200Drugs of Abuse 400080154.Z35Nordiazepam (LCMSMS)ng/mL 16228-9
r80100.Z200Drugs of Abuse 400080154.Z37Alprazolam (LCMSMS)ng/mL 59615-5
r80100.Z200Drugs of Abuse 400080154.Z39Midazolam (LCMSMS)ng/mL 16233-9
r80100.Z200Drugs of Abuse 400080154.Z42Temazepam (LCMSMS)ng/mL 20559-1
r80100.Z200Drugs of Abuse 400080154.Z43Oxazepam (LCMSMS)ng/mL 16201-6
r80100.Z200Drugs of Abuse 400080154.Z44Lorazepam (LCMSMS)ng/mL 17088-6
r80100.Z200Drugs of Abuse 400080154.Z45Alpha-OH Alprazolam (LCMSMS)ng/mL 16348-5
r80100.Z200Drugs of Abuse 400080154.Z46Flurazepam (LCMSMS)ng/mL 16231-3
r80100.Z200Drugs of Abuse 400080154.Z47Alpha-OH-Triazolam (LCMSMS)ng/mL 49876-6
r80100.Z200Drugs of Abuse 400081000.Z15Toxicology Specific Gravity 35811-5
r80100.Z200Drugs of Abuse 400082542.Z257 amino-Clonazepam (LCMSMS)ng/mL 51776-3
r80100.Z200Drugs of Abuse 400082570.Z15Tox Creatininemg/dL02161-8
r80100.Z200Drugs of Abuse 400083986.Z9Toxicology pH  2756-5

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