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Test ID PAINO Pain Clinic Survey 10, Urine

Useful For

Detecting drug use involving amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiates, phencyclidine, and tetrahydrocannabinol

 

This test is intended to be used in a setting where the test results can be used to make a definitive diagnosis.

Profile Information

Test ID Reporting Name Available Separately Always Performed
PN_10 Pain Clinic Survey 10 No Yes
OXYSU Oxycodone Screen, U Yes Yes

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
AMPHU Amphetamines Confirmation, U Yes No
COKEU Cocaine and metabolite Conf, U Yes No
BENZU Benzodiazepines Confirmation, U Yes No
BARBU Barbiturates Confirmation, U Yes No
MTDNU Methadone Confirmation, U Yes No
PCPU Phencyclidine Confirmation, U Yes No
THCU Carboxy-THC Confirmation, U Yes No
OPATU Opiate Confirmation, U Yes No
OXYCU Oxycodone w/metabolite Conf, U Yes No

Testing Algorithm

If immunoassay screen is positive, confirmation is performed. Confirmation with quantification of positives for amphetamines, barbiturates, benzodiazepines, cocaine and metabolites, methadone, opiates, phencyclidine, and tetrahydrocannabinol metabolite will be performed at an additional charge. If only oxycodone screen positive, only confirmation of oxycodone w/metabolite will be performed. Any other opiate-positive screen will result in the full opiate confirmation being performed.

Method Name

PN_10, OXYSU: Screened by Immunoassay

Reporting Name

Pain Clinic Survey 10, U

Specimen Type

Urine

Collection Container/Tube: Plastic urine container

Submission Container/Tube: Plastic, 60-mL urine bottle

Specimen Volume: 30 mL

Collection Instructions:

1. Collect a random urine specimen.

2. Submit 30 mL in 1 plastic bottle.

3. No preservative.

Additional Information:

1. No specimen substitutions.

2. No STATS are accepted for this procedure.

3. For situations where chain of custody is required, a Chain-of-Custody Kit (T282) is available. For chain-of-custody testing, order PANOX / Pain Clinic Survey 10, Chain of Custody, Urine.

4. Additional drug panels and specific requests are available. Call Mayo Medical Laboratories at 800-533-1710 or 507-266-5700.

5. If urine creatinine is required or adulteration of the sample is suspected, the following test should be requested, ADULT / Adulterants Survey, Urine. For additional information, please refer to ADULT / Adulterants Survey, Urine.

6. Submitting less than 30 mL will compromise our ability to perform all necessary testing.

Forms: Chain-of-Custody Request Form is included in the Chain-of-Custody Kit (T282). A copy of this form is also available at http://www.mayomedicallaboratories.com/it-mmfiles/chain-of-custody-request-form.pdf.

Specimen Minimum Volume

20 mL

Specimen Stability Information

Specimen Type Temperature Time
Urine Refrigerated (preferred) 14 days
  Frozen  14 days
  Ambient  72 hours

Clinical Information

This assay was designed to test for and confirm by gas chromatography-mass spectrometry (GC-MS) the following:

-Barbiturates

-Benzodiazepines

-Cocaine

-Methadone

-Phencyclidine

-Tetrahydrocannabinol

 

Confirmation by liquid chromatograph-tandem mass spectrometry (LC-MS/MS) is completed for all opiates and amphetamines.

 

This test uses the simple screening technique which involves immunologic testing for drugs by class. All positive screening results are confirmed by GC-MS or LC-MS/MS, and quantitated, before a positive result is reported.

Reference Values

Negative

Screening cutoff concentrations:

Amphetamines: 500 ng/mL

Barbiturates: 200 ng/mL

Benzodiazepines: 100 ng/mL

Cocaine (benzoylecgonine-cocaine metabolite): 150 ng/mL

Methadone metabolite: 300 ng/mL

Opiates: 300 ng/mL

Oxycodone: 100 ng/mL

Phencyclidine: 25 ng/mL

Tetrahydrocannabinol carboxylic acid: 50 ng/mL

This report is intended for use in clinical monitoring or management of patients. It is not intended for use in employment-related testing.

Cautions

Not intended for use in employment-related testing.

 

For situations where chain of custody is required, a Chain-of-Custody Kit (Supply T282) is available. See PANOX / Pain Clinic Survey 10, Chain of Custody, Urine.

 

The test does not screen for drug classes other than those listed above. More comprehensive screening is available using the serum or urine drug screens (DSS / Drug Screen, Prescription/OTC, Serum or PDSU / Drug Screen, Prescription/OTC, Urine).

Day(s) Performed

Monday through Friday; Varies

Report Available

2 days

Performing Laboratory

Mayo Medical Laboratories in Rochester

CPT Code Information

80301

G0479 (if appropriate)

NY State Approved

Yes