ARUP's Laboratory Test Directory

Buprenorphine and Metabolites - Confirmation/Quantitation - Urine : 2002749

Mnemonic: BUPREN UR

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Performed: Sun-Sat
Reported: 1-4 days
Specimen Required: Collect: Random urine.

Specimen Preparation: Transfer 2 mL urine with no additives or preservatives to an ARUP Standard Transport Tube. (Min: 1 mL)

Storage/Transport Temperature: Room temperature.

Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.

Stability (collection to initiation of testing): Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years

Interpretive Data: Methodology: LC-MS/MS

Drugs covered:
Buprenorphine, norbuprenorphine, buprenorphine glucuronide (qualitative only), norbuprenorphine glucuronide (qualitative only), and naloxone.

Positive cutoff:

Buprenorphine: 2 ng/mL
Norbuprenorphine: 2 ng/mL
Buprenorphine glucuronide: 5 ng/mL
Norbuprenorphine glucuronide: 5 ng/mL
Naloxone 50 ng/mL

For medical purposes only; not valid for forensic use.

The presence of metabolite(s) without parent drug is common and may indicate use of parent drug during the prior week.

The absence of expected drug(s) and/or drug metabolite(s) may indicate non-compliance, inappropriate timing of specimen collection relative to drug administration, poor drug absorption, diluted/adulterated urine, or limitations of testing. The concentration value must be greater than or equal to the cutoff to be reported as positive. Interpretive questions should be directed to the laboratory.

See Compliance Statement B: www.aruplab.com/CS
CPT Code(s): 83925
Cross References: Buprenex (Buprenorphine & Metabolites - Confirmation/Quantitation - Urine), Buprenorphine (Buprenorphine & Metabolites - Confirmation/Quantitation - Urine), Buprenorphine Glucuronide (Buprenorphine & Metabolites - Confirmation/Quantitation - Urine), Buprenorphine Screen & Metabolite (Buprenorphine & Metabolites - Confirmation/Quantitation - Urine), Butrans (Buprenorphine & Metabolites - Confirmation/Quantitation - Urine), Norbuprenorphine (Buprenorphine & Metabolites - Confirmation/Quantitation - Urine), Norbuprenorphine Glucuronide (Buprenorphine & Metabolites - Confirmation/Quantitation - Urine), Norspan (Buprenorphine & Metabolites - Confirmation/Quantitation - Urine), Pain Management (Buprenorphine & Metabolites - Confirmation/Quantitation - Urine), Pain Management, Buprenorphine, Quantitative, w/ medMATCH, Urine (Buprenorphine & Metabolites - Confirmation/Quantitation - Urine) , Pain Management, Buprenorphine, w/ Confirmation w/ medMATCH, Urine (Buprenorphine & Metabolites - Confirmation/Quantitation - Urine) , Suboxone (Buprenorphine & Metabolites - Confirmation/Quantitation - Urine), Subutex (Buprenorphine & Metabolites - Confirmation/Quantitation - Urine), Temgesic (Buprenorphine & Metabolites - Confirmation/Quantitation - Urine), Transtec (Buprenorphine & Metabolites - Confirmation/Quantitation - Urine), Vetergesic (Buprenorphine & Metabolites - Confirmation/Quantitation - Urine)