Ordering Recommendation

Preferred test to follow-up presumptive results. For general screening, Barbiturates, Urine Screen with Reflex to Quantitation (2012211) is preferred.

Mnemonic

BARB UR

Methodology

Quantitative Gas Chromatography-Mass Spectrometry/Quantitative Liquid Chromatography-Tandem Mass Spectrometry

Performed

Tue, Thu, 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 3.5 mL urine with no additives or preservatives to an ARUP Standard Transport Tube. (Min: 1.5 mL)

Storage/Transport Temperature

Room temperature.

Unacceptable Conditions

Specimens exposed to repeated freeze/thaw cycles.

Remarks
Stability

Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years

Reference Interval

Drugs Covered
Cutoff Concentrations
Butalbital 50 ng/mL
Pentobarbital 50 ng/mL
Phenobarbital 50 ng/mL

Interpretive Data

Methodology: Quantitative Gas Chromatography-Mass Spectrometry/Quantitative Liquid Chromatography-Tandem Mass Spectrometry.

Positive cutoff: 50 ng/mL

For medical purposes only; not valid for forensic use.

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 value must be greater than or equal to the cutoff to be reported as positive. Interpretive questions should be directed to the laboratory.

This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the US Food and Drug Administration. This test was performed in a CLIA certified laboratory and is intended for clinical purposes.

Compliance Category

Laboratory Developed Test (LDT)

Note

Compare to; Pain Management, Barbiturates, Quantitative, with medMATCH, Urine; Pain Management, Barbiturates, with Confirmation with medMATCH, Urine.

Hotline History

N/A

CPT Codes

80345 (Alt code: G0480)

Components

Component Test Code* Component Chart Name LOINC
2012214 Phenobarbital, Urn, Quant 3950-3
2012215 Butalbital, Urn, Quant 11071-8
2012216 Pentobarbital, Urn, Quant 3926-3
* 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

  • Amobarbitone
  • Amytal
  • Axocet
  • Butalbital
  • Fioricet
  • Fiorinal
  • Luminal
  • Nembutal
  • Pain Management
  • Pentobarbital
  • Phenobarbital
  • Phenobarbitone
  • Quinalbartbitone
  • Sandoptal
  • Seconal
  • Solfoton
  • Tuinal
Barbiturates, Urine, Quantitative