Test Code UDS Drug Screen, Random, Urine
Methodology
Note: This test is for medical use only and screens only for the following drug classes: amphetamines (includes methamphetamines and methylenedioxymethamphetamine [MDMA]), barbiturates, benzodiazepines, cocaine metabolites, opiates, phencyclidine, propoxyphene, tetrahydrocannabinol (THC-marijuana), methadone and oxycodone.
Performing Laboratory
Decatur Morgan Hospital-Decatur Campus
Specimen Requirements
5 mL from a random urine collection. No preservative. Send
specimen refrigerated.
Note: 1. Indicate random urine on request
form.
2. Label specimen appropriately (urine).
3. Follow instructions in “Urine Collection—Decatur” in “Special Instructions.”
Reference Values
Negative (reported as positive or negative)
Screening cutoff concentrations
Amphetamines: 1,000 ng/mL
Barbiturates: 200 ng/mL
Benzodiazepines: 100 ng/mL
Cocaine (benzoylecgonine-cocaine metabolite): 300 ng/mL
Opiates: 300 ng/mL
Phencyclidine: 25 ng/mL
Cannabinoids (tetrahydrocannabinol carboxylic acid-metabolite): 50 ng/mL
Oxycodone: 100 ng/mL
Methadone: 300 ng/mL
THIS IS A MEDICAL REPORT. (POSITIVE RESULTS NOT CONFIRMED)
Test Classification and CPT Coding
G0480