Drug Screen 9 Panel, Serum or Plasma - Immunoassay Screen with Reflex to Mass Spectrometry Confirmation/Quantitation
0092420
 
Ordering Recommendation
Mnemonic
DRUG SCRSP
Methodology
Qualitative Enzyme-Linked Immunosorbent Assay/ Quantitative Gas Chromatography-Mass Spectrometry/Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Performed
Sun-Sat
Reported
1-2 days
Confirmation: 1-4 days
New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation
 
Collect
Gray (sodium fluoride/potassium oxalate). Also acceptable: Plain red, green (sodium heparin), lavender (EDTA), or pink (K2EDTA).  
Specimen Preparation
Remove plasma from cells ASAP or within 2 hours of collection. Transfer 4 mL plasma to an ARUP Standard Transport Tube. (Min: 3 mL) Also acceptable: Serum.  
Storage/Transport Temperature
Refrigerated.  
Unacceptable Conditions
Specimens exposed to repeated freeze/thaw cycles. Separator tubes. Plasma or whole blood collected in lt. blue (sodium citrate).  
Remarks
Cocaine and cocaethylene are more stable in fluoride-preserved plasma than serum.  
Stability
After separation from cells: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 years  
Reference Interval
Drugs Covered and Cutoff Concentrations
Drugs/Drug Classes Screen
Amphetamines 30 ng/mL
Methamphetamine 30 ng/mL
Barbiturates 75 ng/mL
Benzodiazepines 75 ng/mL
Cannabinoids 30 ng/mL
Cocaine 30 ng/mL
Methadone 40 ng/mL
Opiates 30 ng/mL
Oxycodone 30 ng/mL
Phencyclidine 15 ng/mL
Propoxyphene 75 ng/mL
Interpretive Data
Drugs/Drug classes reported as "Positive" are automatically reflexed to mass spectrometry confirmation/quantitation. An unconfirmed positive immunoassay screen result may be useful for medical purposes but does not meet forensic standards. 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, or limitations of testing. The concentration at which the screening test can detect a drug or metabolite varies within a drug class. Specimens for which drugs or drug classes are detected by the screen are automatically 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.

See Compliance Statement B: www.aruplab.com/CS
Note
Screen-positive specimens are automatically confirmed by GC/MS and/or LC-MS/MS; additional charges may apply.
CPT Code(s)
80101 x9 (HCPCS:G0431); if positive add appropriate CPT code(s): 82542; 82520; 83925; 83992; 82145; 82205; 80154; 83840; 83925
Components
Component Test Code*Component Chart Name
0092419Drug Screen Comments, Serum or Plasma
0092421Cannabinoids, Serum or Plasma
0092422Cocaine, Serum or Plasma
0092423Opiates, Serum or Plasma
0092424Phencyclidine, Serum or Plasma
0092425Amphetamines, Serum or Plasma
0092426Barbiturates, Serum or Plasma
0092427Benzodiazepines, Serum or Plasma
0092428Methadone, Serum or Plasma
0092429Propoxyphene, Serum or Plasma
0092430Oxycodone, Serum or Plasma
0093414Methamphetamine, Serum or Plasma
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, contact interface support at interface.support@aruplab.com.
Cross References
  • Pain Management