![]() ![]() Urine drug test results equal to or greater than cutoff are reported as positive and results less than cutoff are reported as negative. Safest prescribing habits should include a combination of tools and laboratory test results to correctly detect drug use patterns. No single monitoring approach provides adequate information about the pattern or dose of patient drug use. Use of serum/plasma should be limited to anuretic patients, or where a patient's clinical appearance does not coincide with their prescribed medications. Urine or oral fluid are the specimens of choice for routine monitoring of patients taking prescription drugs. Therapeutic urine drug monitoring is important for ensuring compliance to treatment strategies, as well as ensuring non-diversion for illicit purposes. Presumptive positive screen results are reflexed to a more specific and sensitive liquid chromatography mass spectroscopy (LC/MS/MS) test. The test is a screening assay using a homogeneous enzyme immunoassay method of analysis. Oxycodone: Noroxycodone, Oxycodone, Oxymorphone Opiates: Codeine, Hydrocodone, Hydromorphone, Morphine, Norhydrocodone Marijuana Metabolite: Marijuana Metabolite If screen of drug class is positive, a confirmation of the drug class will be performed at an additional charge (CPT code(s): dependent upon the confirmed drug class).Ĭonfirmation includes the following analytes within their associated drug class:Īlcohol Metabolites: Ethyl Glucuronide (ETG), Ethyl Sulfate (ETS)Īmphetamines: Amphetamine, Methamphetamineīarbiturates: Amobarbital, Butalbital, Pentobarbital, Phenobarbital, Secobarbitalīenzodiazepines: Alphahydroxyalprazolam, Alphahydroxymidazolam, Alphahydroxytriazolam, Aminoclonazepam, Hydroxyethylflurazepam, Lorazepam, Nordiazepam, Oxazepam, Temazepam Specimen validity consisting of Creatinine, Oxidant, and pH testing. Initial screen of 6-Acetylmorphine, Alcohol Metabolites, Amphetamines, Barbiturates, Benzodiazepines, Marijuana Metabolite, Cocaine Metabolite, Methadone Metabolite, Opiates, Oxycodone drug classes. If this test code is not ordered with 39158, all medMATCH result codes will be DNR’d. ![]() If 39158 is ordered, all Drug Monitoring order codes will be treated as medMATCH. If you require medMATCH for this order code, you must also order code 39158 - Prescribed Drugs, medMATCH®.
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