ARUP's Laboratory Test Directory

0092420: Drugs of Abuse 9 Panel, Serum or Plasma - Screen with Reflex to Confirmation/Quantitation

Test Mnemonic: DRUG SCRSP
Methodology: Enzyme-Linked Immunosorbent Assay/Gas Chromatography-Mass Spectrometry/Liquid Chromatography-Tandem Mass Spectrometry

Performed: Sun-Sat

Reported: 1-4 days

Specimen Required:  
Collect: Two 7 mL plain red or gray (potassium oxalate/sodium fluoride). Also acceptable: plain red, green (sodium heparin), lavender (EDTA), or pink (K2EDTA).

Transport: 5 mL serum or plasma at 2-8°C.  (Min: 3 mL)  Submit specimen in an ARUP Standard Transport Tube.

Pediatric Collection/Transport: 2 mL serum or plasma at 2-8°C.

Remarks: Remove serum or plasma from cells ASAP. Avoid use of serum separator tubes and gels. Plasma is preferred over serum.  Cocaine and cocaethylene are more stable in fluoride-preserved plasma than serum.

Unacceptable Conditions: Samples exposed to repeated freeze/thaw cycles. Separator tubes and plasma or whole blood.

Stability: After separation from cells: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 years

Reference Interval:
 
Drugs Covered and Cutoff Concentrations
Drug Screen Confirmation
Marijuana
  9-carboxy-THC
30 ng/mL 4 ng/mL
Cocaine
  Cocaine
  Benzoylecgonine
  m-hydroxybenzoylecgonine
  Cocaethylene
30 ng/mL 20 ng/mL
Opiates
  Codeine
  Morphine
  6 - acetylmorphine
  Hydrocodone
  Hydromorphone
  Oxycodone
30 ng/mL 2 ng/mL
Phencyclidine 15 ng/mL 10 ng/mL
Amphetamines
  Amphetamine
  Methamphetamine
  Methylenedioxymethamphetamine (MDMA-Ecstasy)
  Methylenedioxyamphetamine (MDA)
30 ng/mL 20 ng/mL
Barbiturates
  Butalbital
  Amobarbital
  Pentobarbital
  Secobarbital
  Phenobarbital
75 ng/mL 50 ng/mL
Methadone and metabolite 40 ng/mL 10 ng/mL
Benzodiazepines
  Alprazolam
Alpha-hydroxyalprazolam      Clonazepam
7-Amino Clonazepam      Diazepam
Alpha-hydroxyethylflurazepam  Lorazepam
Midazolam
Nordiazepam
Oxazepam
Temazepam
Alpha-hydroxytriazolam
75 ng/mL 20 ng/mL
Propoxyphene and metabolite 75 ng/mL 10 ng/mL

Interpretive Data:
For medical purposes only; not valid for forensic use.



Note:
Screen positive specimens are automatically confirmed by GC/MS or LC-MS/MS; additional charges may apply.
If specimen screens positive, then the confirmation test for the drug class will be added.

CPT Code(s):
80101 x9 Screen; if positive, add appropriate code for drug confirmed: 82542 Marijuana; 82520 Cocaine; 83925 Opiates; 83992 Phencyclidine; 82145 Amphetamines; 82205 Barbiturates; 80154 Benzodiazepines; 83840 Methadone; 83925 Propoxyphene

 

 

 
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