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Test Code OPUR / UCOPT-MC OPIATE, QUANTITATIVE, URINE

Important Note

This panel does not detect synthetic opiates.  Please order separate tests/panels that contain the specified drug name in the title:

  • Fentanyl (Actiq, Duragesic, Fentora) or if the patient is on heroin
  • Buprenorphine (Buprenex, Suboxone)
  • Meperidine (Demerol)
  • Tapentadol (Nucynta)
  • Tramadol (Tradol, Ultram, Ultracet)
  • Propoxyphene (Darvon, Darvocet)

Additional Codes

Software Test Code
Label Text OPUR
EPIC LAB417
Michigan Co-Tenancy Laboratory                    UCOPT                                                    

Performing Laboratory

Michigan Co-Tenancy Laboratory at Warde Medical Laboratory (MCL)

Useful For

GC-MS confirmation for morphine, codeine, hydrocodone, hydromorphone, oxycodone and oxymorphone

Method Name

Gas Chromatography-Mass Spectrometry (GC-MS)

Reference Values

Negative

GC-MS cutoff concentrations:

Codeine: < 25 ng/mL

Hydrocodone: < 25 ng/mL

Hydromorphone: < 25ng/mL

Oxycodone: < 25 ng/mL

Morphine: < 25 ng/mL

Oxymorphone: < 25 ng/mL

Days and Times Test Performed

Monday through Friday

Report Available

2-4 Days

Analytic time for send out tests is the time it will take to perform testing once it has arrived at the performing reference lab. Please add 1 to 2 days from time of collection to allow for receipt at NorDx central lab and shipment of specimen, add another day if specimen is collected on the day before a weekend or holiday. 

 

Specimen Type

Urine, Random

Preferred Container

Screw-Capped Plastic Container

Preferred Volume

Urine, Random: 10 mL (Screw-Capped Plastic Container)

Minimum Volume

Urine, Random: 3 mL (Screw-Capped Plastic Container)

Specimen Collection and Handling

Collect random urine and send refrigerated in a screw-capped urine container.

Click here to view the Urine Aliquoting Guide for Processing

Specimen Stability Information

Specimen Type: Urine, Random

Frozen: 14 Days

Refrigerated: 14 Days

Room Temp: 48 Hours

Add On Capable

Contact Reference Lab – If add-on can never be done, report the test to the Administrative Analyst

Advance Beneficiary Notice Requirements

No ABN Required

CPT Code Information

CPT Code
80361, 80365 (G0480)

Performing Laboratory Location

Michigan Co-Tenancy Laboratory at Warde Medical Laboratory (MCL)

LOINC Code Information

16249-5

16250-3

16251-1

16252-9

16998-7

17395-5

Clinical Significance

INTENDED POSITIVES:

Codeine (Empirin w/codeine, Fioricet w/codeine, Tylenol w/codeine)

Heroin (Diacetylmorphine, Black tar, China white, [although could be fentanyl], Junk, Mexican tar, Smack)

Hydrocodone (Anexsia, Co-Gesic, Ibudone, Lorcet, Lortab, Margesic, Norco, Reprexin, Tussionex, Vicodin, Vicoprofen, Xodol, Zamicet, Zydone)

Hydromorphone (Dilaudid, Exalgo)

Morphine (Astramorph, Avinza, Duramorph, Kadian, MS, Contin, Oramorph, Roxanol, RMS)

Opium (Paregoric)

Oxycodone (Combunox, Endocet, Magnacet, OxyContin, Percocet, Primlev, Roxicet, Roxicodone, Roxilox, Roxiprin, Tylox, Xolox)

Oxymorphone (Opana)

POSSIBLE UNINTENDED POSITIVES:

Poppy seeds (Morphine)