Drugs of Abuse Screen, Urine, Point of Care


Sunquest Code:N/A  
Epic Code:N/A (Doc Flow Sheets)Epic Name:Urine Drug Screen Result
Synonyms:Urine Drug Screen Point of Care; Adulterant; Urine Drug Screen Cups
Methodology:Lateral flow chromatographic immunoassay
CPT Code:80300
Turnaround Time:Performed and reported in the clinic.


Collection Instructions

Specimen:Urine
Optimal Volume:30 mL
Minimum\Peds Volume:1 mL
Collection Instructions:Collect fresh urine sample. Random specimen may be used for testing.
IMPORTANT: For positive results, provider must order confirmatory testing if appropriate or comment status for positive results in Epic as unconfirmed if confirmatory testing is not needed.
Contraindications:Urine specimen should be collected and tested as soon as possible after drug use is suspected, because each drug of abuse is cleared off the body at different times, therefore is detected in the urine at different times and rates. Drug levels below the cutoff limit may not be detected. Review package insert for specific drug calibrator level detection limits.


Processing and Shipping

Specimen Processing:Do not centrifuge. Store in refrigerator.
Shipping Instructions:Ship refrigerated to arrive within 7 days of specimen collection.
Test Performed at or Referral Lab Point of Care  (UMMC-West Bank, Fairview Recovery Services)


Interpretive

Reference Range:
Tests in Cup Reference Range Abbreviation Calibrator Cut-off Concentration for a Positive Result
Amphetamine Negative AMP 1000 D-Amphetamine 1000 ng/mL
Amphetamine Negative AMP 300 D-Amphetamine 300 ng/mL
Barbiturates Negative BAR Secobarbital 300 ng/mL
Benzodiazepines Negative BZO Oxazepam 300 ng/mL
Buprenorphine Negative BUP Buprenorphine 10 ng/mL
Cocaine Negative COC 300 Benzoylecgonine 300 ng/mL
Cocaine Negative COC 150 Benzoylecgonine 150 ng/mL
Marijuana Negative THC Delta-9-THC-COOH 50 ng/mL
Methadone Negative MTD Methadone 300 ng/mL
Methamphetamines/mAMP Negative mAMP 1000 D-Methamphetamine 1000 ng/mL
Methamphetamines/mAMP Negative mAMP 500 D-Methamphetamine 500 ng/mL
Methylenedioxymethamphetamine Negative MDMA MDMA 500 ng/mL
Opiates Negative MOP/OPI 300 Morphine 300 ng/mL
Opiates Negative OPI 2000 Morphine 2000 ng/mL
Oxycodon Negative OXY Oxycodone 100 ng/mL
Phencyclidine Negative PCP Phencyclidine 25 ng/mL
Use:The UCP Drug Test Cup provides only a preliminary analytical test result to assess the possible consumption of specific drugs of abuse. This test is not intended to be used in monitoring the drug levels. A more specific alternate method must be used in order to confirm the test result. Gas chromatography/ Mass spectrometry (GC/MS) is the preferred confirmatory method. Clinical considerations and professional judgement should be applied to any drug of abuse test results, particularly when preliminary positive results are obtained.
Qualitative and quantitative confirmatory test is optional and is ordered separately by physician. Licensed psychotherapist will send specimen to the lab for retest.
Note: Unconfirmed results are to be used only for medical (i.e., treatment) purposes. Unconfirmed screening results must not be used for non-medical purposes (e.g., employment testing, legal testing).


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