Patient Preparation

No special patient preparations are necessary.

Collect

10 mL random urine collection.
Clean  container, no preservative.
Minimum 0.5 mL

Storage/Transport Temperature

Refrigerate specimen.

Transfer urine to laboratory within 2 hours of collection.

  Room temperature 15oC to 25oC for 7 days

  Refrigerator temperature 2oC to 8oC up to 30 days

  Frozen -15oC to -20oC for long term storage

 

Performed

Chemistry 
Daily, routine and STAT.

Notes

Test Includes: Screen for benzodiazepines, cocaine, amphetamines, cannabinoids (THC), opiates, barbiturates, methadone, phencyclidine, oxycodone, fentanyl, and buprenorphine.

This assay is considered a screening procedure and is designed to be used for medical purposes only.

This test is for medical purposes only. Not for legal use.

This test is considered a screening procedure. Confirmation of positive results by GC/MS is available upon request. Confirmation of positive results on neonatal and maternity inpatients will automatically be performed.

Performed

Chemistry 
Daily, routine and STAT.

Methodology

Instrument: Beckman Coulter AU5800

Reported

Results same day.

STAT results within 1 hour.

Routine results within 2 hours.

Reference Interval

Reference Range

Drug

Result

Amphetamines

Negative (<1000 ng/mL)

Barbituates

Negative (<200 ng/mL)

Benzodiazepines

Negative (<200 ng/mL)

Cocaine

Negative (<300 ng/mL)

 Methadone

Negative (<300 ng/mL)

Opiates

Negative (<300 ng/mL)

Phenycyclidine

Negative (<25 ng/mL)

THC

Negative (<50 ng/mL)

Oxycodone Negative (<100 ng/mL)
Fentanyl Negative (<5 ng/mL)
Buprenorphine Negative (<5 ng/mL)

Interpretive Data

 
Detectable Duration of Drugs in Urine
Drug Usage Half Life  (hours) Duration after last dose
 OPIATES

Codeine  (Analgesics s/codeine)

 

1.9-3.9

2 days

Heroin (Diacetylmorphine     >24 hours
Hydrocodone   3.4-8.8  
Hydromorphone   1.5-3.8  
Morphine (Duramorph)   1.3-6.7 2 days
Meperidine (Demerol, Pethidine)     2-3 days
Oxycodone   4-6  
Fentanyl synthetic opiate variable on administration 2-3 days
Buprenorphine semi-synthetic opiate varies  up to 8 days
HALLUCINOGENS
Marijuana & Cannabinoids (THC) Single 14-38 2-7 days
Marijuana & Cannabinoids (THC) Prolonged   1-2 months
Phencyclidine (PCP) Single 7-46 (mean=17) 1 week
Phencyclidine (PCP) Prolonged   2-4 weeks
STIMULANTS
Amphetamine (Benzedrine, Dexedrine) Single 7-34 (urine pH dependant) 48 hours
Amphetamine (Benzedrine, Dexedrine) Prolonged   7-10 days
Methamphetamine (Desoxyn, Methedrine) Single 6-15 48 hours
Methamphetamine (Desoxyn, Methedrine) Prolonged   7-10 days
Cocaine Single 0.7-1.5 3 days
Cocaine Prolonged   4 days
BARBITURATES
Amobarbital   15-40  
Aprobarbital   14-34  
Barbital   48  
Butabarbital (Butisol)   34-42 2 days
Butalbital (Fiorinal)   35-88 2 days
Pentobarbital (Nembutal)   20-30 2 days
Phenobarbital   2-6 days 1-3 weeks
Secobarbital (Seconal)   22-29 2 days
BENZODIAZEPINES
Alprazolam (Xanax) Single  6-20 Not Detected
Alprazolam (Xanax) Prolonged   5-7 days
Chlordiazepoxide (Librium) Single 6-27 Not Detected
Chlordiazepoxide (Librium) Prolonged   5-7 days
Clonazepam (Klonopin) Single 6-27 Not Detected
Clonazepam (Klonopin) Prolonged   5-7 days
Diazepam (Valium) Single

20-200

(48=mean)

Not Detected
Estazolam   10-24 5-7 days
Flunitrazepam (Rohypnol) Single 9-25 72 hours
Flurazepam   2-3  
Lorazepam (Ativan, Loraz) Single 9-16 Not Detected
Lorazepam (Ativan, Loraz) Prolonged   5-7 days
Midazolam   24  
Nitrazepam   17-48  
Oxazepam(Serax) Single 4-11 Not Detected
Oxazepam(Serax) Prolonged   5-7 days
Prazepam   1.3  
Quazepam   39-53  
Temezepam   3-13  

Triazolam

 

2.6

 

CPT Codes

80307

Test Build Information

OrderCode OrderName ResultCode ResultName ResultUnits RESULT LOINC CPT
DOAS DRUGS OF ABUSE URINE BENZ BENZODIAZEPINES   9428-4 80307
DOAS DRUGS OF ABUSE URINE COCA COCAINE METABOLITE   53743-1  
DOAS DRUGS OF ABUSE URINE AMPH AMPHETAMINES   8150-5  
DOAS DRUGS OF ABUSE URINE THC CANNABINOIDS   42860-7  
DOAS DRUGS OF ABUSE URINE OPIA OPIATES   8220-6  
DOAS DRUGS OF ABUSE URINE BARBI BARBITURATES   9426-8  
DOAS DRUGS OF ABUSE URINE MTD METHADONE   3774-7  
DOAS DRUGS OF ABUSE URINE PCP PHENCYCLIDINE   3937-0  
DOAS DRUGS OF ABUSE URINE OXYSC OXYCODONE   19642-8  
DOAS DRUGS OF ABUSE URINE FENT FENTANYL   58379-9  
DOAS DRUGS OF ABUSE URINE BUPR BUPRENORPHINE   58359-1  

Additional Information

For additional information or questions, contact RPSInterfaceSupport@unmc.edu
Collection

Patient Preparation

No special patient preparations are necessary.

Collect

10 mL random urine collection.
Clean  container, no preservative.
Minimum 0.5 mL

Storage/Transport Temperature

Refrigerate specimen.

Transfer urine to laboratory within 2 hours of collection.

  Room temperature 15oC to 25oC for 7 days

  Refrigerator temperature 2oC to 8oC up to 30 days

  Frozen -15oC to -20oC for long term storage

 

Performed

Chemistry 
Daily, routine and STAT.

Notes

Test Includes: Screen for benzodiazepines, cocaine, amphetamines, cannabinoids (THC), opiates, barbiturates, methadone, phencyclidine, oxycodone, fentanyl, and buprenorphine.

This assay is considered a screening procedure and is designed to be used for medical purposes only.

This test is for medical purposes only. Not for legal use.

This test is considered a screening procedure. Confirmation of positive results by GC/MS is available upon request. Confirmation of positive results on neonatal and maternity inpatients will automatically be performed.

Ordering

Performed

Chemistry 
Daily, routine and STAT.

Methodology

Instrument: Beckman Coulter AU5800

Reported

Results same day.

STAT results within 1 hour.

Routine results within 2 hours.

Result Interpretation

Reference Interval

Reference Range

Drug

Result

Amphetamines

Negative (<1000 ng/mL)

Barbituates

Negative (<200 ng/mL)

Benzodiazepines

Negative (<200 ng/mL)

Cocaine

Negative (<300 ng/mL)

 Methadone

Negative (<300 ng/mL)

Opiates

Negative (<300 ng/mL)

Phenycyclidine

Negative (<25 ng/mL)

THC

Negative (<50 ng/mL)

Oxycodone Negative (<100 ng/mL)
Fentanyl Negative (<5 ng/mL)
Buprenorphine Negative (<5 ng/mL)

Interpretive Data

 
Detectable Duration of Drugs in Urine
Drug Usage Half Life  (hours) Duration after last dose
 OPIATES

Codeine  (Analgesics s/codeine)

 

1.9-3.9

2 days

Heroin (Diacetylmorphine     >24 hours
Hydrocodone   3.4-8.8  
Hydromorphone   1.5-3.8  
Morphine (Duramorph)   1.3-6.7 2 days
Meperidine (Demerol, Pethidine)     2-3 days
Oxycodone   4-6  
Fentanyl synthetic opiate variable on administration 2-3 days
Buprenorphine semi-synthetic opiate varies  up to 8 days
HALLUCINOGENS
Marijuana & Cannabinoids (THC) Single 14-38 2-7 days
Marijuana & Cannabinoids (THC) Prolonged   1-2 months
Phencyclidine (PCP) Single 7-46 (mean=17) 1 week
Phencyclidine (PCP) Prolonged   2-4 weeks
STIMULANTS
Amphetamine (Benzedrine, Dexedrine) Single 7-34 (urine pH dependant) 48 hours
Amphetamine (Benzedrine, Dexedrine) Prolonged   7-10 days
Methamphetamine (Desoxyn, Methedrine) Single 6-15 48 hours
Methamphetamine (Desoxyn, Methedrine) Prolonged   7-10 days
Cocaine Single 0.7-1.5 3 days
Cocaine Prolonged   4 days
BARBITURATES
Amobarbital   15-40  
Aprobarbital   14-34  
Barbital   48  
Butabarbital (Butisol)   34-42 2 days
Butalbital (Fiorinal)   35-88 2 days
Pentobarbital (Nembutal)   20-30 2 days
Phenobarbital   2-6 days 1-3 weeks
Secobarbital (Seconal)   22-29 2 days
BENZODIAZEPINES
Alprazolam (Xanax) Single  6-20 Not Detected
Alprazolam (Xanax) Prolonged   5-7 days
Chlordiazepoxide (Librium) Single 6-27 Not Detected
Chlordiazepoxide (Librium) Prolonged   5-7 days
Clonazepam (Klonopin) Single 6-27 Not Detected
Clonazepam (Klonopin) Prolonged   5-7 days
Diazepam (Valium) Single

20-200

(48=mean)

Not Detected
Estazolam   10-24 5-7 days
Flunitrazepam (Rohypnol) Single 9-25 72 hours
Flurazepam   2-3  
Lorazepam (Ativan, Loraz) Single 9-16 Not Detected
Lorazepam (Ativan, Loraz) Prolonged   5-7 days
Midazolam   24  
Nitrazepam   17-48  
Oxazepam(Serax) Single 4-11 Not Detected
Oxazepam(Serax) Prolonged   5-7 days
Prazepam   1.3  
Quazepam   39-53  
Temezepam   3-13  

Triazolam

 

2.6

 

Administrative

CPT Codes

80307
RPS Interface Information

Test Build Information

OrderCode OrderName ResultCode ResultName ResultUnits RESULT LOINC CPT
DOAS DRUGS OF ABUSE URINE BENZ BENZODIAZEPINES   9428-4 80307
DOAS DRUGS OF ABUSE URINE COCA COCAINE METABOLITE   53743-1  
DOAS DRUGS OF ABUSE URINE AMPH AMPHETAMINES   8150-5  
DOAS DRUGS OF ABUSE URINE THC CANNABINOIDS   42860-7  
DOAS DRUGS OF ABUSE URINE OPIA OPIATES   8220-6  
DOAS DRUGS OF ABUSE URINE BARBI BARBITURATES   9426-8  
DOAS DRUGS OF ABUSE URINE MTD METHADONE   3774-7  
DOAS DRUGS OF ABUSE URINE PCP PHENCYCLIDINE   3937-0  
DOAS DRUGS OF ABUSE URINE OXYSC OXYCODONE   19642-8  
DOAS DRUGS OF ABUSE URINE FENT FENTANYL   58379-9  
DOAS DRUGS OF ABUSE URINE BUPR BUPRENORPHINE   58359-1  

Additional Information

For additional information or questions, contact RPSInterfaceSupport@unmc.edu