High-Resolution Hybrid Urine Drug Panel

This is a comprehensive drug panel that combines liquid chromatography time-of-flight (TOF) mass spectrometry with immunoassays. Leveraging the strengths of both technologies, this hybrid panel is the first of its kind for urine drug testing. Drugs that are important to pain management (opiates, oxycodone, other opioids, benzodiazepines, and amphetamines) are now individually reported (rather than collectively as drug classes) providing clarity to results, and significantly reducing the need for confirmation testing. (Featured in newsletter)

Features & Benefits

  • Comprehensive urine drug panel for pain management
  • Granular, high-confidence result reduces need for confirmation - saves cost and time
  • High-resolution qualitative results for 37 compounds using LC TOF mass spectrometry. Established cutoffs.
  • High-performance immunoassay results for 9 additional compounds. Creatinine for sample validity
  • Turn-around time of 24 to 60 hours
  • Now available with interpretation*

List of Analytes Detected

Analytes are detected by LC TOF (unless marked by * indicating the use of immunoassays or spectrophotometry.)
Expand each section below to see compounds reported in each category (analytes preceded by "--" indicate unique metabolites).
Compare cutoff values with other screens, or with quantitative assays.
Opiates (natural & synthetic)
  • 6-acetylmorphine (heroin metabolite)
  • Buprenorphine
  • --Buprenorphine-glucuronide
  • --Norbuprenorphine
  • Codeine
  • Fentanyl
  • --Norfentanyl
  • Hydrocodone
  • --Dihydrocodeine
  • --Norhydrocodone
  • Hydromorphone
  • Meperidine metabolite
  • Methadone*
  • Morphine
  • Oxycodone
  • --Noroxycodone
  • Oxymorphone
  • --Noroxymorphone
  • Propoxyphene*
  • Tapentadol
  • --Tapentadol-o-Sulfate
  • Tramadol*
Amphetamine & amphetamine-like
  • Amphetamine
  • Methamphetamine
  • MDMA- Ecstasy
  • MDA
  • MDEA- Eve
  • Ritalinic acid (methylphenidate)
  • Phentermine
Benzodiazepine & benzodiazepine-like
  • Alprazolam
  • --Alpha-OH-alprazolam
  • Clonazepam
  • --7-aminoclonazepam
  • Diazepam
  • Nordiazepam
  • Oxazepam
  • Temazepam
  • Lorazepam
  • Midazolam
  • Zolpidem (Ambien)
Other*
  • Barbiturates
  • Carisoprodol & meprobamate
  • Cocaine metabolite
  • Marijuana metabolite
  • PCP
  • Ethyl glucuronide
  • Creatinine

Ordering Information

Test Name Pain Management Drug Panel by High-Resolution Time-of-Flight Mass Spectrometry and Enzyme Immunoassay, Urine
Test Code 2007479
Mnemonic PAIN HYB U
Method Qualitative liquid chromatography/TOF mass spectrometry and enzyme immunoassay
Specimen Require Two 4 mL urine tubes (total 8 mL)

Test Name (NEW) Pain Management Drug Panel with Interpretation by High-Resolution Time-of-Flight Mass Spectrometry and Enzyme Immunoassay, Urine
Test Code 2009288
Mnemonic PAIN HYB 2
Method Qualitative liquid chromatography/TOF mass spectrometry and enzyme immunoassay
Specimen Require Two 4 mL urine tubes (total 8 mL). Must provide information on expected drug(s) to receive interpretation

Reimbursement

Recommended reimbursement codes are: 80301, 80302 X 3 and 80304.
For Medicare, replace with G0431.
This assumes the test is used as a primary screen.