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PAIN MANAGEMENT PANEL 2 RFLX

Test Code
PM2
 
This test may reflex to additional tests depending upon results of this test. No additional fee will be added if the reflex test is necessary.
Positive results will automatically relex to confirmation testing. Confirmation by GC/MS, LC-MS/MS, or GC/FID.
This test is a lab developed test. For further information, see the Compliance Remarks section below.
Important LinksPatient Prescription Record
SPECIMEN REQUIREMENTS
Container TypeRandom urine
Supply Item Numberpicture1387 or picture1678
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)
Required Patient InfoList last 5 days of prescription medicine taken by the patient
StabilityRoom Temp 10 days  Refrigerated 1 month  
Unacceptable ConditionBlood, serum, or plasma samples
CPT Codes80361, (HCPCS G0480), 80307, 80356, 80365
Interface Order Code80101.Z212
Billing CodePM22017
Test ScheduleMon-Sat
Turnaround Time1-3 days
MethodEnzyme Immunoassay, Confirmations by GC/MS, LC/MS/MS, or GC/FID
Reference Ranges
TitleDescriptorRangesUnits
Alcohol ScreenNegative< 20mg/dL
Alcohol by GC/FIDNot Detected< 8mg/dL
Amp/Methamphetamine ScreenNegative< 500ng/mL
Amphetamines by GC/MSNot Detected< 250ng/mL
Methamphetamine by GC/MSNot Detected< 250mg/mL
D-Methamphetamine by GC/MSNot Detected< 250%
L-Methamphetamine GC/MSNot Detected< 250%
Alternate Amphetamines ScreenNegative< 500ng/mL
MDMA by GC/MSNot Detected< 250ng/mL
MDA by GC/MSNot Detected< 250ng/mL
MDEA by GC/MSNot Detected< 250ng/mL
Cannabinoids Screen (20)Negative< 20ng/mL
Carboxy-THC by GC/MSNot Detected< 15ng/mL
Cocaine ScreenNegative< 150ng/mL
Benzoylecgonine by GC/MSNot Detected< 100ng/mL
Morphine by LC-MS/MS Not Detected< 50ng/mL
Oxymorphone by LC-MS/MSNot Detected< 50ng/mL
Hydromorphone by LC-MS/MSNot Detected< 50ng/mL
Nor-Oxycodone by LC-MS/MSNot Detected< 50ng/mL
Nor-Hydrocodone by LC-MS/MSNot Detected< 50ng/mL
Oxycodone by LC-MS/MSNot Detected< 50ng/mL
Codeine by LC-MS/MSNot Detected< 50ng/mL
Heroin Metab (6AM) by LC-MS/MSNot Detected< 10ng/mL
Hydrocodone by LC-MS/MSNot Detected< 50ng/mL
Phencyclidine ScreenNegative< 25ng/mL
Phencyclidine by GC/MSNot Detected< 6ng/mL
Propoxyphene ScreenNegative< 300ng/mL
Norpropoxyphene by GC/MSNot Detected < 80ng/mL
Barbiturates ScreenNegative< 200ng/mL
Amobarbital by GC/MSNot Detected< 50ng/mL
Butalbital by GC/MSNot Detected< 80ng/mL
Pentobarbital by GC/MSNot Detected< 50ng/mL
Phenobarbital by GC/MSNot Detected< 50ng/mL
Secobarbital by GC/MSNot Detected< 80ng/mL
Benzodiazepines ScreenNegative< 200ng/mL
Clonazepam by LC-MS/MSNot Detected< 10ng/mL
7-Aminoclonazepam by LC-MS/MSNot Detected< 10ng/mL
Flunitrazepam by LC-MS/MSNot Detected< 10ng/mL
7-Aminoflunitrazepam by LC-MS/MSNot Detected< 10ng/mL
Diazepam by LC-MS/MSNot Detected< 10ng/mL
Temazepam by LC-MS/MSNot Detected< 25ng/mL
Nordiazepam by LC-MS/MSNot Detected< 25ng/mL
Oxazepam by LC-MS/MSNot Detected< 25ng/mL
Lorazepam by LC-MS/MSNot Detected< 25ng/mL
Alprazolam by LC-MS/MSNot Detected< 10ng/mL
Alpha-hydroxyalprazolam by LC-MS/MSNot Detected< 25ng/mL
Flurazepam by LC-MS/MSNot Detected< 10ng/mL
Midazolam by LC-MS/MSNot Detected< 25ng/mL
Alpha-hydroxytriazolam by LC-MS/MSNot Detected< 25ng/mL
Methadone & Metabolite ScreenNegative< 100ng/mL
Methadone Metabolite (EDDP) by GC/MSNot Detected< 90ng/mL
OxidantsNormal< 200ug/mL
Urine pHNormal4.5-9.0
Urine CreatinineNormal> 19mg/dL
Specific GravityNormal1.003-1.020
GlucoseNegative< 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.
Reflex Testing
Reflex ConditionReflex Test NameReflex CPT codesReflex Billing codes
If any Analyte in panel positiveReflex testing built into panel, no additional test codes requiredReflex testing built into panel, no additional CPT codes requiredN/A
If screen for Alcohol is positive
If screen for Amphetamines is positive
If screen for Alternate Amphetamines is positive
If screen for Cannabinoids (THC) is positive
If screen for Cocaine is positive
If screen for Propoxyphene is positive
If screen for Phencyclidine is positive
If screen for Barbiturates is positive
If screen for Benzodiazepines is positive
If screen for Methadone is positive

Interface Codes
typeorder codetest descriptionresult coderesult descriptionunitsdecimal placesloinc code
o80101.Z212Pain Management Panel 2
r80101.Z212Pain Management Panel 280101.Z193Clonazepamng/mL 16229-7
r80101.Z212Pain Management Panel 280101.Z198Alcohol Screenmg/dL 42242-8
r80101.Z212Pain Management Panel 280101.Z199Amp / Methamphetamine Screenng/mL 33280-9
r80101.Z212Pain Management Panel 280101.Z200Alternate Amphetamines Screenng/mL 19146-0
r80101.Z212Pain Management Panel 280101.Z201Cannabinoids Screenng/mL 42860-7
r80101.Z212Pain Management Panel 280101.Z202Cocaine Screenng/mL 3398-5
r80101.Z212Pain Management Panel 280101.Z203Phencyclidine Screenng/mL 3937-0
r80101.Z212Pain Management Panel 280101.Z204Propoxyphene Screenng/mL 19429-0
r80101.Z212Pain Management Panel 280101.Z205Barbiturates Screenng/mL 20664-9
r80101.Z212Pain Management Panel 280101.Z206Benzodiazepinesng/mL 9428-4
r80101.Z212Pain Management Panel 280101.Z207Methadone Screenng/mL 3774-7
r80101.Z212Pain Management Panel 280101.Z2787-Aminoclonazepamng/mL 51776-3
r80101.Z212Pain Management Panel 280101.Z279Flunitrazepamng/mL 20528-6
r80101.Z212Pain Management Panel 280101.Z2807-Aminoflunitrazepamng/mL 51777-1
r80101.Z212Pain Management Panel 280101.Z281Diazepamng/mL 16227-1
r80101.Z212Pain Management Panel 280101.Z282Nordiazepamng/mL 16228-9
r80101.Z212Pain Management Panel 280101.Z283Alprazolamng/mL 59615-5
r80101.Z212Pain Management Panel 280101.Z284Flurazepamng/mL 16231-3
r80101.Z212Pain Management Panel 280101.Z285Midazolamng/mL 16233-9
r80101.Z212Pain Management Panel 280101.Z286Alpha-hydroxytriazolamng/mL 49876-6
r80101.Z212Pain Management Panel 280102.Z124Alcohol by GC/FIDmg/dL 46983-3
r80101.Z212Pain Management Panel 280102.Z125Amphetamine by GC/MSng/mL 20410-7
r80101.Z212Pain Management Panel 280102.Z126Methamphetamine by GC/MSng/mL 16235-4
r80101.Z212Pain Management Panel 280102.Z127MDMA by GC/MSng/mL 18358-2
r80101.Z212Pain Management Panel 280102.Z128MDA by GC/MSng/mL 20545-0
r80101.Z212Pain Management Panel 280102.Z129MDEA by GC/MSng/mL 45143-5
r80101.Z212Pain Management Panel 280102.Z130Carboxy-THC by GC/MSng/mL 20521-1
r80101.Z212Pain Management Panel 280102.Z131Benzoylecgonine by GC/MSng/mL 16226-3
r80101.Z212Pain Management Panel 280102.Z132Morphine by LC-MS/MSng/mL 16251-1
r80101.Z212Pain Management Panel 280102.Z133Oxymorphone by LC-MS/MSng/mL 17395-5
r80101.Z212Pain Management Panel 280102.Z134Hydromorphone by LC-MS/MSng/mL 16998-7
r80101.Z212Pain Management Panel 280102.Z135Nor-Oxycodone by LC-MS/MSng/mL 61425-5
r80101.Z212Pain Management Panel 280102.Z136Nor-Hydrocodone by LC-MS/MSng/mL 61422-2
r80101.Z212Pain Management Panel 280102.Z137Oxycodone by LC-MS/MSng/mL 16249-5
r80101.Z212Pain Management Panel 280102.Z138Codeine by LC-MS/MSng/mL 16250-3
r80101.Z212Pain Management Panel 280102.Z139Heroin Metab (6AM) by LC-MS/MSng/mL 19593-3
r80101.Z212Pain Management Panel 280102.Z140Hydrocodone by LC-MS/MSng/mL 16252-9
r80101.Z212Pain Management Panel 280102.Z141Phencyclidine by GC/MSng/mL 16254-5
r80101.Z212Pain Management Panel 280102.Z142Norpropoxyphene by GC/MSng/mL 17377-3
r80101.Z212Pain Management Panel 280102.Z143Amobarbital by GC/MSng/mL 16239-6
r80101.Z212Pain Management Panel 280102.Z144Butalbital by GC/MSng/mL 16237-0
r80101.Z212Pain Management Panel 280102.Z145Pentobarbital by GC/MSng/mL 16240-4
r80101.Z212Pain Management Panel 280102.Z146Phenobarbital by GC/MSng/mL 16241-2
r80101.Z212Pain Management Panel 280102.Z147Secobarbital by GC/MSng/mL 16238-8
r80101.Z212Pain Management Panel 280102.Z148Oxazepam by GC/MSng/mL 16201-6
r80101.Z212Pain Management Panel 280102.Z149Temazepam by GC/MSng/mL 20559-1
r80101.Z212Pain Management Panel 280102.Z150Lorazepam by GC/MSng/mL 17088-6
r80101.Z212Pain Management Panel 280102.Z151Alpha-OH Alprazolam by GC/MSng/mL 16348-5
r80101.Z212Pain Management Panel 280102.Z152Methadone Metab (EDDP) by GC/MSng/mL 58429-2
r80101.Z212Pain Management Panel 280299.Z60D-Methamphetamine%031026-8
r80101.Z212Pain Management Panel 280299.Z61L-Methamphetamine%015404-7
r80101.Z212Pain Management Panel 281000.Z18SpGravity 32965-2
r80101.Z212Pain Management Panel 281099.Z11Oxidantsug/mL 19146-0
r80101.Z212Pain Management Panel 282570.Z22Creatininemg/dL02161-8
r80101.Z212Pain Management Panel 283986.Z5pH  2756-5
r80101.Z212Pain Management Panel 299199.Z101Prescribed Drug 1  
r80101.Z212Pain Management Panel 299199.Z102Prescribed Drug 2  
r80101.Z212Pain Management Panel 299199.Z103Prescribed Drug 3  
r80101.Z212Pain Management Panel 299199.Z104Prescribed Drug 4  
r80101.Z212Pain Management Panel 299199.Z105Prescribed Drug 5  
r80101.Z212Pain Management Panel 299199.Z106Prescribed Drug 6  
r80101.Z212Pain Management Panel 299199.Z107Prescribed Drug 7  
r80101.Z212Pain Management Panel 299199.Z108Prescribed Drug 8  
r80101.Z212Pain Management Panel 299199.Z109Prescribed Drug 9  
r80101.Z212Pain Management Panel 299199.Z110Prescribed Drug 10  

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