Drug Detection Panel Meconium


Abbrev Code:DDMEC   
Order Code:LAB8264Order Name:Drug Detection Panel Meconium
Order Instructions:If THC/Cannabinoids testing is needed, add LAB8265 by selecting Yes in the Order Composer.
Synonyms:Meconium Drug Screen
Methodology:Qualitative Liquid Chromatography/Tandem Mass Spectrometry
CPT Codes: 80326 x1, 80326 x1, 80347 x1, 80347 x1, 80364 x1, 80364 x1, 80355 x1, 80355 x1
Turnaround Time:Specimens are sent to the reference laboratory Sun-Sat; results are reported within 4 days.
Compliance:

ARUP Laboratory Developed Test (LDT): For tests developed and validated by ARUP (previously referred to as Compliance Statement B, C or D). This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the US Food and Drug Administration. This test was performed in a CLIA certified laboratory and is intended for clinical purposes.



Collection Instructions

Specimen:Meconium (feces)
Optimal Volume:4 g
Minimum\Peds Volume:2 g or 3/4 inch cube
Container:Plastic leakproof container, sterile
Collection Instructions:Collect all meconium (blackish material) excreted until milk/formula-based stool (yellow-green) appears.
Causes for Rejection:Unknown fluids, pharmaceutical preparation, breast milk. Diapers, cotton swabs, baby wipes, tongue depressors, bottles.


Processing and Shipping

Specimen Processing:Transfer all available meconium to a sterile urine collection cup or Meconium Kit. Store at refrigerated temperature.
Shipping Instructions:Ship at refrigerated temperature.
Stability:1 week at room temperature; 3 weeks refrigerated; 1 year frozen.
Test Performed at or Referral Lab Lab Sendouts  (ARUP)
Referral Lab number:3004583


Interpretive

Reference Range:
Drug/Drug Class Cutoff Concentration (ng/g) Drug/Drug Class Cutoff Concentration (ng/g)
6-Acetylmorphine 20 Methadone metabolite 10
7-Aminoclonazepam 5 Methamphetamine 20
Alpha-OH-Alprazolam 5 Methylphenidate 20
Alpha-OH-Midazolam 20 Midazolam 20
Alprazolam 5 m-OH-Benzoylecgonine 20
Amphetamine 20 Morphine 20
Benzoylecognine 20 Naloxone 20
Buprenorphine 20 N-desmethyltramadol 20
Butalbital 50 Norbuprenorphine 20
Clonazepam 5 Nordiazepam 20
Cocaethylene 20 Norhydrocodone 20
Cocaine 20 Noroxycodone 20
Codeine 20 O-desmethyltramadol 20
Diazepam 5 Oxazepam 20
Dihydrocodeine 20 Oxycodone 20
Fentanyl 10 Oxymorphone 20
Gapapentin 20 Phencyclidine (PCP) 10
Hydrocodone 20 Phenobarbital 200
Hydromorphone 20 Phentermine 20
Lorazepam 20 Tapentadol 20
MDMA (Ecstasy) 20 Temazepam 20
Meperdine 20 Tramadol 20
Methadone 10 Zolpidem 10
Use:Detection of drugs in meconium is intended to reflect maternal drug use during approximately the last trimester of a full-term pregnancy. The pattern and frequency of drug(s) used by the mother cannot be determined by this test. A negative result does not exclude the possibility that a mother used drugs during pregnancy. Detection of drugs in meconium depends on the extent of maternal drug use, as well as drug stability, unique characteristics of drug deposition in meconium, and the performance of the analytical method. Drugs administered during labor and delivery may be detected. Detection of drugs in meconium does not insinuate impairment and may not affect outcomes for the infant. Interpretive questions should be directed to the laboratory.

For medical purposes only; not valid for forensic use.


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