Targeted Opioid Screen, Random, Urine
Use
This test is useful for determining compliance or identifying illicit opioid drug use using urine specimens. It is not intended for employment-related testing. Opioids are a large class of medications commonly used to relieve pain or manage opioid abuse and include drugs such as buprenorphine, codeine, fentanyl, hydrocodone, hydromorphone, methadone, morphine, oxycodone, oxymorphone, tapentadol, and tramadol. These medications bind to opioid receptors in the brain, spinal cord, gastrointestinal tract, and other organs.
Special Instructions
Not provided.
Limitations
The test does not hydrolyze the urine sample and looks for both parent drugs and metabolites. The detection window for most opioids in urine is approximately 1 to 3 days, with longer detection times for some compounds such as methadone. Positive results are reported with qualitative 'Present' results, and cutoff concentrations are provided for specific opioids and their metabolites. A second analytical technique can be requested at an additional charge if specific drug concentration is needed.
Methodology
Mass Spectrometry (LC-MS/MS)
Biomarkers
LOINC Codes
- 95796-9 - Opioids Pnl Ur Scn
- 19411-8 - Codeine Ur Ql Scn
- 89310-7 - C6G Ur Ql Scn
- 19597-4 - Morphine Ur Ql Scn
- 89308-1 - Morphine-6-glucuronide Ur Ql Scn
- 19321-9 - 6MAM Ur Ql Scn
- 19482-9 - HYDROcodone Ur Ql Scn
- 89304-0 - Norhydrocodone Ur Ql Scn
- 19446-4 - DHC Ur Ql Scn
- 19486-0 - HYDROmorphone Ur Ql Scn
- 89309-9 - H3G Ur Ql Scn
- 19642-8 - oxyCODONE Ur Ql Scn
- 89303-2 - Noroxycodone Ur Ql Scn
- 19646-9 - oxyMORphone Ur Ql Scn
- 89301-6 - O3G Ur Ql Scn
- 89302-4 - Noroxymorphone Ur Ql Scn
- 59673-4 - fentaNYL Ur Ql Scn
- 43199-9 - Norfentanyl Ur Ql
- 19532-1 - Meperidine Ur Ql Scn
- 27920-8 - Normeperidine Ur Ql
- 42618-9 - Naloxone Ur Ql Scn
- 89307-3 - Naloxone-3G Ur Ql Scn
- 19550-3 - Methadone Ur Ql Scn
- 93495-0 - EDDP Ur Ql Scn
- 19429-0 - Propoxyph Ur Ql Scn
- 19632-9 - Norpropoxyph Ur Ql Scn
- 19710-3 - traMADol Ur Ql Scn
- 86453-8 - O-nortramadol Ur Ql
- 72485-6 - Tapentadol Ur Ql Scn
- 89306-5 - Nortapentadol Ur Ql Scn
- 89300-8 - Tapen gluc Ur Ql Scn
- 93494-3 - Buprenorphine Ur Ql Scn
- 82371-6 - Norbuprenorphine Ur Ql Scn
- 89305-7 - N3G Ur Ql Scn
- 69050-3 - Toxicologist review
- 29305-0 - Medication prescribed
Result Turnaround Time
2-4 days
Related Documents
For more information, please review the documents below
Specimen
Urine
Volume
1 mL
Minimum Volume
0.5 mL
Container
Plastic, 5-mL tube
Collection Instructions
Collect a random urine specimen. No preservative.
Causes for Rejection
Gross hemolysis, Gross icterus
Stability Requirements
| Temperature | Period |
|---|---|
| Room Temperature | 72 hours |
| Refrigerated | 14 days |
| Frozen | 28 days |
