Casandra

Casandra Test Code AR36742Version 1 (DRAFT)

Performing Lab

Lab ARUP LaboratoriesLab Test ID 0092420CPT Codes 80307, 80324, 80354, 80345, 80346, 80348, 80349, 80353, 80358, 80359, 80361, 80365, 83992

Drug Profile, Screen With Reflex to Quantitation, Serum or Plasma

Also known as: DRUG SCRSP

Clinical Use

Order Test

Use

This test is used to monitor patient compliance for drug use. It provides qualitative screening through enzyme immunoassay (ELISA) followed by confirmation and quantitation with mass spectrometry technologies like GC-MS and LC-MS/MS for a comprehensive drug profile. The test detects various drug classes and is particularly useful for managing compliance in individuals prescribed or using controlled substances.

Special Instructions

Not provided.

Limitations

An immunoassay may yield an unconfirmed positive result which might be useful for medical purposes but does not meet forensic standards. The absence of expected drugs/drug metabolites might indicate noncompliance, improperly timed specimen collection, poor absorption, or the limitations of the test. The sensitivity varies among drug classes, and detection relies on the concentration meeting the positive cutoff criteria.

Test Details

New York Approved

Methodology

Immunoassay (ELISA)

Biomarkers

2 components

Immunoassay Screening • ELISAConfirmation and Quantitation • ELISA

LOINC Codes

Order Codes

48767-8 - Annotation comment Imp
8172-9 - Cannabinoids SerPl Ql Scn
8191-9 - Cocaine SerPl Ql Scn
8219-8 - Opiates SerPl Ql Scn
8236-2 - PCP SerPl Ql Scn
8149-7 - Amphetamines SerPl Ql Scn
20421-4 - Barbiturates SerPl Ql Scn
46976-7 - Benzodiaz SerPl Ql Scn
59705-4 - Methadone SerPl Ql Scn
13576-4 - oxyCODONE SerPl Ql
3777-0 - Methamphet SerPl Ql
3413-2 - Buprenorphine SerPl-mCnc
29356-3 - fentaNYL SerPl Ql

Result Turnaround Time

1-2 days

Specimen

Plasma

Volume

4 mL

Minimum Volume

3 mL

Container

ARUP standard transport tube

Collection Instructions

Remove plasma from cells ASAP or within 2 hours of collection. Transfer to the specified transport tube.

Storage Instructions

Refrigerated

Causes for Rejection

Specimens exposed to repeated freeze/thaw cycles, separator tubes, plasma or whole blood collected in light blue (sodium citrate), hemolyzed specimens.