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Opiates, Urine Screen with Reflex to Quantitation
2005093
Ordering Recommendation

Useful for general screening in contexts of compliance and/or abuse. A screen with reflex testing is the preferred method for ruling out opiate exposure. For follow-up testing of a presumptive result, Opiates, Urine, Quantitative (0090364) is preferred.

Mnemonic
OPI RFX UR
Methodology
Qualitative Enzyme Immunoassay/Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Performed
Sun-Sat
Reported
1-4 days
New York DOH Approval Status
This test is New York DOH approved.
Submit With Order
ARUP Consult®
Disease Topics
Specimen Required
Patient Preparation
 
Collect
Random urine. 
Specimen Preparation
Transfer 4 mL urine with no additives or preservatives to an ARUP Standard Transport Tube. (Min: 2 mL) 
Storage/Transport Temperature
Refrigerated. 
Unacceptable Conditions
Specimens exposed to repeated freeze/thaw cycles. 
Remarks
 
Stability
Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years 
Reference Interval
Effective May 16, 2011

Screen cutoff concentration: 300 ng/mL
Interpretive Data
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 at which the screening test can detect a drug or metabolite varies. Specimens for which drugs or drug classes are detected by the screen are reflexed to a second, more specific technology (GC/MS and/or LC-MS/MS). 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.

For medical purposes only; not valid for forensic use.

Note
This test detects morphine, hydrocodone, and similar compounds. The confirmation test detects and quantifies morphine, codeine, hydrocodone, hydromorphone, 6-monoacetylmorphine, oxycodone and oxymorphone.

If the specimen screens positive, then Confirmation/Quantitation by LC-MS/MS (ARUP test 0090364) will be added to confirm result. Additional charges apply.

For detection of oxycodone and/or oxymorphone, order Oxycodone/Oxymorphone Screen with Reflex to Confirmation, Urine (ARUP test code 2005100).
CPT Code(s)
80307; if positive add 80361; 80365 (Alt code: if reflexed G0480)
Components
Component Test Code*Component Chart NameLOINC
2005094Opiates, Urn, Screen19295-5
2012212Screen, Urine Interpretation54247-2
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Aliases
  • Opiates urine concentration
  • Pain Management, Opiates, Quantitative, Urine
  • Urine screen and confirmation for opiates