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92457: Pain Management Profile 7 With Confirmation, Urine Print View
Prescribed Drug 1      
Prescribed Drug 2      
Prescribed Drug 3      
Prescribed Drug 4      
Prescribed Drug 5      
Creatinine S  > 19.9  mg/dL 
Specific Gravity REFRACT  > 1.002   
pH S/METER  4.5 - 9   
Oxidant S  < 200  mcg/mL 
Abnormal Specimen Validity Test:      
Amphetamines IA  < 500  ng/mL 
medMATCH Amphetamines CALC     
Amphetamine MASS SPEC  < 250  ng/mL 
medMATCH Amphetamine CALC     
Methamphetamine MASS SPEC  < 250  ng/mL 
medMATCH Methamphetamine CALC     
Barbiturates IA  < 300  ng/mL 
medMATCH Barbiturates CALC     
Amobarbital MASS SPEC  < 100  ng/mL 
medMATCH Amobarbital CALC     
Butalbital MASS SPEC  < 100  ng/mL 
medMATCH Butalbital CALC     
Pentobarbital MASS SPEC  < 100  ng/mL 
medMATCH Pentobarbital CALC     
Phenobarbital MASS SPEC  < 100  ng/mL 
medMATCH Phenobarbital CALC     
Secobarbital MASS SPEC  < 100  ng/mL 
medMATCH Secobarbital CALC     
Benzodiazepines IA  < 100  ng/mL 
medMATCH Benzodiazepines CALC     
Alphahydroxyalprazolam MASS SPEC  < 25  ng/mL 
medMATCH aOH alprazolam CALC     
Alphahydroxymidazolam MASS SPEC  < 50  ng/mL 
medMATCH aOH midazolam CALC     
Alphahydroxytriazolam MASS SPEC  < 50  ng/mL 
medMATCH aOH triazolam CALC     
Aminoclonazepam MASS SPEC  < 25  ng/mL 
medMATCH Aminoclonazepam CALC     
Hydroxyethylflurazepam MASS SPEC  < 50  ng/mL 
medMATCH OH, Et flurazepam CALC     
Lorazepam MASS SPEC  < 50  ng/mL 
medMATCH Lorazepam CALC     
Nordiazepam MASS SPEC  < 50  ng/mL 
medMATCH Nordiazepam CALC     
Oxazepam MASS SPEC  < 50  ng/mL 
medMATCH Oxazepam CALC     
Temazepam MASS SPEC  < 50  ng/mL 
medMATCH Temazepam CALC     
Marijuana Metabolite IA  < 20  ng/mL 
medMATCH Marijuana Metab CALC     
Marijuana Metabolite MASS SPEC  < 5  ng/mL 
medMATCH Marijuana Metab CALC     
Cocaine Metabolite IA  < 150  ng/mL 
medMATCH Cocaine Metab CALC     
Benzoylecgonine MASS SPEC  < 100  ng/mL 
medMATCH Benzoylecgonine CALC     
Methadone Metabolite IA  < 100  ng/mL 
medMATCH Methadone Metab CALC     
EDDP MASS SPEC  < 100  ng/mL 
medMATCH EDDP CALC     
Methadone MASS SPEC  < 100  ng/mL 
medMATCH Methadone CALC     
Opiates IA  < 100  ng/mL 
medMATCH Opiates CALC     
Codeine MASS SPEC  < 50  ng/mL 
medMATCH Codeine CALC     
Hydrocodone MASS SPEC  < 50  ng/mL 
medMATCH Hydrocodone CALC     
Hydromorphone MASS SPEC  < 50  ng/mL 
medMATCH Hydromorphone CALC     
Morphine MASS SPEC  < 50  ng/mL 
medMATCH Morphine CALC     
Norhydrocodone MASS SPEC  < 50  ng/mL 
medMATCH Norhydrocodone CALC     
Oxycodone IA  < 100  ng/mL 
medMATCH Oxycodone CALC     
Noroxycodone MASS SPEC  < 50  ng/mL 
medMATCH Noroxycodone CALC     
Oxycodone MASS SPEC  < 50  ng/mL 
medMATCH Oxycodone CALC     
Oxymorphone MASS SPEC  < 50  ng/mL 
medMATCH Oxymorphone CALC     
Alcohol Metabolites IA  < 500  ng/mL 
medMATCH Alcohol Metabolites CALC     
Ethyl Glucuronide (EtG) MASS SPEC  < 500  ng/mL 
medMATCH Ethyl Glucuronide CALC     
Ethyl Sulfate (EtS) MASS SPEC  < 100  ng/mL 
medMATCH Ethyl Sulfate (EtS) CALC     
6 Acetylmorphine IA  < 10  ng/mL 
medMATCH Heroin Metab CALC     
6 Acetylmorphine MASS SPEC  < 10  ng/mL 
medMATCH 6 Acetylmorphine CALC     
Confirmation Testing Performed at:      

PRIMARY
1 Urine 40 (10) mL   Room Temperature - 5 Day(s)/Refrigerated - 7 Day(s)/Frozen - 30 Day(s)  
ALTERNATE

Preferred Specimen: 40 mL (10 mL minimum) urine collected in clinical
drug transport vial.

Acceptable: Urine collected in urine collection container.

Reject Criteria: Preserved samples
Setup Schedule
Monday-Saturday

Reported (Analytical Time)
Next day

CPT Code
80307

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Notes
Transport Temperature: Room temperature
Methodology:
Screen: Immunoassay
Confirm: Mass Spectrometry Quantitative confirmation of positives will be performed at an additional charge (CPT code(s): dependent upon the confirmation drug class)






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