Drug Panel 9A, Urine - Screen with Reflex to Confirmation/Quantitation
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. This test does not distinguish between the delta-8 and delta-9 forms of THC or their metabolites.
New York DOH Approval Status
Specimen Required
Random urine.
Transfer 8 mL urine with no additives or preservatives in ARUP Standard Transport Tubes. (Min: 4 mL)
Refrigerated.
Specimens exposed to repeated freeze/thaw cycles.
Ambient: 1 week; Refrigerated: 1 month; Frozen: 1 month
Methodology
Qualitative Enzyme Multiplied Immunoassay Technique (EMIT)/Quantitative Gas Chromatography-Flame Ionization Detection/Quantitative Gas Chromatography-Mass Spectrometry (GC-MS)/Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Performed
Sun-Sat
Reported
1-4 days
Reference Interval
Drugs Covered and Cutoff Concentrations |
|
---|---|
Drugs/Drug Classes |
Screen |
THC (Cannabinoids) | 50 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 |
Alcohol | 40 mg/dL |
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, GC/FID, 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.
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.
FDA
Note
If the specimen screens positive, then Confirmation/Quantitation by GC/MS, GC/FID, 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
Hotline History
CPT Codes
80307; if reflexed, add 80320; 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 |
0090406 | CDASU 9A Comments | 48767-8 |
0092191 | Amphetamines, Urn, Screen | 19261-7 |
0092192 | Cocaine, Urn, Screen | 19359-9 |
0092193 | Opiates, Urn, Screen | 19300-3 |
0092194 | Phencyclidine, Urn, Screen | 19659-2 |
0092195 | THC, Urn, Screen | 19292-2 |
0092196 | Barbiturates, Urn, Screen | 19270-8 |
0092197 | Benzodiazepines, Urn, Screen | 14316-4 |
0092198 | Propoxyphene, Urn, Screen | 19429-0 |
0092199 | Methadone, Urn, Screen | 19550-3 |
0092400 | Alcohol, Urn, Screen | 46983-3 |
Aliases
- Alcohol, Urine
- Amphetamines, Urine
- Barbiturates, Urine;
- Benzodiazepines, Urine
- Cocaine, Urine
- Creatinine, Urine
- Marijuana, Urine
- Methadone, Urine
- Opiates, Urine
- Pain Management
- Phencyclidine, Urine
- Propoxyphene, Urine