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 drug exposure.

Mnemonic
CDASU 9
Methodology

Qualitative Enzyme Multiplied Immunoassay Technique/ Quantitative Gas Chromatography-Mass Spectrometry/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.
Specimen Required
Patient Preparation
Collect

Random urine.

Specimen Preparation

Transfer 8 mL urine with no additives or preservatives to ARUP Standard Transport Tubes. (Min: 4 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 June 1, 2015

Drugs Covered and Cutoff Concentrations
Drugs/Drug Classes
Screen
THC (Cannabinoids) 20 ng/mL
Cocaine 150 ng/mL
Opiates 300 ng/mL
Oxycodone 100 ng/mL
Phencyclidine 25 ng/mL
Amphetamines 300 ng/mL
MDMA (Ecstasy) 500 ng/mL
Barbiturates 200 ng/mL
Benzodiazepines 200 ng/mL
Methadone 150 ng/mL
Propoxyphene 300 ng/mL

Interpretive Data

The absence of expected drug(s) and/or drug metabolite(s) may indicate noncompliance, 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 within a drug class. 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.

Oxycodone results are reported with the opiates results. MDMA results are reported with the amphetamines results. The following opioids are not detected in this test: fentanyl, buprenorphine, meperidine, tramadol, and tapentadol. A comprehensive panel that includes these opioids is available or individual opioid testing can be ordered. Refer to aruplab.com for test information.

For medical purposes only; not valid for forensic use.

No compliance statements are in use for this test.

Note

If the specimen screens positive, then Confirmation/Quantitation by GC/MS and/or LC-MS/MS will be added to confirm result. Additional charges apply.

To order testing for individual opioids, refer to Fentanyl and Metabolite - Confirmation/Quantitation - Urine (ARUP test code 0092570), Buprenorphine and Metabolites - Confirmation/Quantitation - Urine (ARUP test code 2010092), Meperidine and Metabolite Quantitative, Urine (ARUP test code 3000248), Tramadol and Metabolites - Confirmation/Quantitation - Urine (ARUP test code 2002736). For the comprehensive panel, refer to Pain Management Drug Panel by High-Resolution Time-of-Flight Mass Spectrometry and Enzyme Immunoassay, Urine (ARUP test code 2007479).

Hotline History
N/A
CPT Codes

80307; if reflexed, add 80325; 80345; 80346; 80349; 80353; 80358; 80359; 80361; 80365; 80367; 83992 (Reflexed Alt Code: G0480 )

Components
Component Test Code* Component Chart Name LOINC
0090386 Creatinine, Urine 2161-8
0090399 CDASU 9 Comments 48767-8
0092191 Amphetamines, Urn, Screen 19348-2
0092192 Cocaine, Urn, Screen 19359-9
0092193 Opiates, Urn, Screen 19300-3
0092194 Phencyclidine, Urn, Screen 19661-8
0092195 THC, Urn, Screen 19292-2
0092196 Barbiturates, Urn, Screen 19276-5
0092197 Benzodiazepines, Urn, Screen 19284-9
0092198 Propoxyphene, Urn, Screen 19432-4
0092199 Methadone, Urn, Screen 19553-7
* 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
  • Amphetamines, Urine
  • Barbiturates, Urine
  • Benzodiazepines, Urine
  • CDASU 9 Comments
  • Cocaine, Urine
  • Creatinine, Urine
  • Marijuana, Urine
  • Methadone, Urine
  • Opiates, Urine
  • Pain Management
  • Phencyclidine, Urine
  • Propoxyphene, Urine
Drug Panel 9, Urine - Screen with Reflex to Confirmation/Quantitation