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DRUG/ALCOHOL SCREEN 11 WITH REFLEX CONFIRMATION, SERUM

Test Code
SDRG11
 
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.
SynonymsDrug/Alcohol Screen 11 With Reflex Confirmation (ETOH,AMP,BAR,BZO,COC,PCP,THC,OPI,OXY,MD,PPX)
SPECIMEN REQUIREMENTS
Container TypeRed top tube (plain). Tubes with separator gels should not be used.
Supply Item Numberpicture1372
Specimen TypeSerum
Preferred Volume7 mL
Emergency Minimum Volume3 mL
Collection ProcedureCollect specimen using alcohol free skin preparation.
Specimen ProcessingSeparate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube.
Store and TransportRefrigerated
StabilityRoom Temp 3 days  
CPT Codes80307
Interface Order Code80307.Z83
Billing CodeSDRG11
MethodImmunoassay; Presumptive positives confirmed to limit of quantitation by definitive Chromatography Mass spectrometry (GC/MS or LC/MS-MS). Ethanol: Enzymatic Assay; Presumptive positives confirmed by Gas Chromatography (GC)
NotesUse: Detect the presence of abused and prescribed drugs.
Reflex Testing
Reflex ConditionReflex Test NameReflex CPT codesReflex Billing codes
If presumptive positiveAmphetamines/MDMA,MS,WB/SP Rfx80324/80359SAMPCF
If presumptive positiveBenozodiazepines,MS,WB/SP Rfx80347SBNZCF
If presumptive positiveBarbiturates,MS,WB/SP Rfx80345SBRBCF
If presumptive positiveCocaine,MS,WB/SP Rfx80353SCOCCF
If presumptive positiveMethadone,MS,WB/SP Rfx80358SMETCF
If presumptive positiveOpiates,MS,WB/SP Rfx80361/80356SOPCF
If presumptive positiveOxycodones,MS,WB/SP Rfx80365SOXYCF
If presumptive positivePhencyclidine,MS,WB/SP Rfx83992SPCPCF
If presumptive positivePropoxyphene,MS,WB/SP Rfx80367SPRXCF
If presumptive positiveTHC,MS,WB/SP Rfx80349STHCCF
If presumptive positiveEthyl Alcohol,GC,WB/SP Rfx80320SALCF

Interface Codes
typeorder codetest descriptionresult coderesult descriptionunitsdecimal placesloinc code
r80307.Z83Drug Screen 11 w/Conf, Serum80307.Z72Amphetaminesng/mL 
r80307.Z83Drug Screen 11 w/Conf, Serum80307.Z73Barbiturates, IAug/mL 20421-4
r80307.Z83Drug Screen 11 w/Conf, Serum80307.Z74Benzodiazepines, IAng/mL 46976-7
r80307.Z83Drug Screen 11 w/Conf, Serum80307.Z75Cocaine and Metabolite, IAng/mL 49747-9
r80307.Z83Drug Screen 11 w/Conf, Serum80307.Z76Phencyclidine, IAng/mL 8236-2
r80307.Z83Drug Screen 11 w/Conf, Serum80307.Z77THC (Marijuana) Metabolite, IAng/mL 8172-9
r80307.Z83Drug Screen 11 w/Conf, Serum80307.Z78Opiates, IAng/mL 8219-8
r80307.Z83Drug Screen 11 w/Conf, Serum80307.Z79Oxycodones, IAng/mL 77732-6
r80307.Z83Drug Screen 11 w/Conf, Serum80307.Z80Methadone, IAng/mL 59705-4
r80307.Z83Drug Screen 11 w/Conf, Serum80307.Z81Propoxyphene, IAng/mL 59734-4
r80307.Z83Drug Screen 11 w/Conf, Serum80307.Z82Ethyl Alcohol, Enzgm/dL3

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