Ordering RecommendationRecommendations when to order or not order the test. May include related or preferred tests.
Useful for general screening in contexts of compliance and/or abuse. A screen with reflex testing is the preferred method for ruling out tramadol exposure. For follow-up testing of a presumptive result, Tramadol and Metabolites, Urine, Quantitative (2002736) is preferred.
MnemonicUnique test identifier.
TRAM RFX U
MethodologyProcess(es) used to perform the test.
Qualitative Enzyme Immunoassay/Quantitative Liquid Chromatography-Tandem Mass Spectrometry
PerformedDays of the week the test is performed.
Sun-Sat
ReportedExpected turnaround time for a result, beginning when ARUP has received the specimen.
1-6 days
New York DOH Approval StatusIndicates test has been approved by the New York State Department of Health.
This test is New York DOH approved.
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
Pharmaceutical preparation. Specimens exposed to repeated freeze/thaw cycles.
Reference IntervalNormal range/expected value(s) for a specific disease state. May also include abnormal ranges.
Screen Cutoff concentration 200 ng/mL
Interpretive DataBackground information for test. May include disease information, patient result explanation, recommendations, details of testing, associated diseases, explanation of possible patient results.
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.
Compliance Category
FDA
NoteAdditional information related to the test.
If the specimen screens positive, then Confirmation/Quantitation by LC-MS/MS (ARUP test code 2002736) will be added to confirm result. Additional charges apply.
Hotline History
N/A
CPT CodesThe American Medical Association Current Procedural Terminology (CPT) codes published in ARUP's Laboratory Test Directory are provided for informational purposes only. The codes reflect our interpretation of CPT coding requirements based upon AMA guidelines published annually. CPT codes are provided only as guidance to assist clients with billing. ARUP strongly recommends that clients confirm CPT codes with their Medicare administrative contractor, as requirements may differ. CPT coding is the sole responsibility of the billing party. ARUP Laboratories assumes no responsibility for billing errors due to reliance on the CPT codes published.
80307; if reflexed, add 80373 (Reflexed Alt Code: G0480 )
* 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.
AliasesOther names that describe the test. Synonyms.
N-Desmethyltramadol
O-Desmethyltramadol
Ryzolt
Tramal
Ultracet
Ultram
Tramadol, Urine Screen with Reflex to Quantitation