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Test Code FENTL FENTANYL SCREEN WITH CONFIRMATION, URINE

Important Note

Heroin can be laced or substituted with fentanyl.  Please order tests or panels that contain fentanyl in the title if the patient is on heroin.

Additional Codes

Software Test Code
SoftID FENTL
EPIC LAB20318

Performing Laboratory

NorDx Laboratories

Useful For

A screening assay to detect Fentanyl in urine.

If the Fentanyl screen is ≥ 1 ng/mL, the Fentanyl confirmation/quantitation by LC-MC/MS is performed at an additional charge.

Method Name

Enzyme Immunoassay (EIA)

Liquid Chromatography-Tandem Mass Spectrometry (LC-MC/MS) (If indicated)

Reference Values

Not Detected

EIA cutoff concentration: 1 ng/mL

LC-MC/MS cutoff concentrations:

Fentanyl: <1.0 ng/mL

Norfentanyl: <1.0 ng/ mL

For help with interpretation please call: 877-323-0045

Please see test code FNTUR for additional fentanyl confirmatory testing information.

Days and Times Test Performed

Monday through Friday

Report Available

1 Day

If negative

Specimen Type

Urine, Random

Preferred Container

Urine Cup

Preferred Volume

Urine, Random: 25 mL (Urine Cup)

Minimum Volume

Urine, Random: 10 mL (Urine Cup)

Specimen Collection and Handling

Collect random urine and send refrigerated in a clean, non-sterile urine container.

Click here to view the Urine Aliquoting Guide for Processing

Specimen Stability Information

Specimen Type: Urine, Random

Frozen: 3 Months

Refrigerated: 7 Days

Room Temp: 2 Days

Add On Capable

Yes

Advance Beneficiary Notice Requirements

This test, when ordered on Medicare patients, is subject to the National Coverage Determination (NCD) policies. Please verify that the diagnosis code (ICD code) you have chosen demonstrates medical necessity for the test as documented in the physician’s patient record. The CMS web site is available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD code chosen.

CPT Code Information

CPT Code

CPT Description

CPT Disclaimer

80307 Drug Test, Presumptive Screening, By Instrument Chemistry (i.e Immunoassay, Chromatography, and Mass Spectrometry)  
80354 Fentanyl (Definitive), Quantitative if Indicated
G0480 Drug Test (Definitive), 1-7 Classes Government Payers, if Applicable
G0481 Drug Test (Definitive), 8-14 Classes Government Payers, if Applicable
G0482 Drug Test (Definitive), 15-21 Classes Government Payers, if Applicable
G0483 Drug Test (Definitive), 22+ Classes Government Payers, if Applicable

Performing Laboratory Location

NorDx Laboratories

Clinical Significance

This test is intended for clinical monitoring and management of patients. It is not intended for non-medical use such as employment or forensic testing.

Specific gravity, pH, creatinine and oxidants will be performed and reported at no additional charge to identify potential adulteration of the urine specimen.

INTENDED POSITIVES:

Fentanyl and Norfentanyl

Maximum Laboratory Time

4 Days