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OPIAT
OPIATES SCREEN WITH GC-MS CONFIRMATION, URINE

Test Code OPIAT 
Test OPIATES SCREEN WITH GC-MS CONFIRMATION, URINE 
Methodology Enzyme Immunoassay (EIA)
Gas Chromatography-Mass Spectrophotometry (GC-MS), if indicated 
Description The screening assay detects opiates in urine. If the opiate screen is > = 300 ng/mL, the opiates confirmation/quantitation by GC-MS is performed at an additional charge.

THIS TEST IS INTENDED FOR CLINICAL MONITORING AND MANAGEMENT OF PATIENTS. IT IS NOT INTENDED FOR NON-MEDICAL USE SUCH AS EMPLOYMENT OR FORENSIC TESTING.

Note: Specific gravity, pH, creatinine and oxidants will be performed and reported at no additional charge to identify potential adulteration of the urine specimen.

INTENDED POSITIVES:
Codeine (Empirin w/codeine, Fioricet w/codeine, Tylenol w/codeine)
Heroin (Diacetylmorphine, Black tar, China white, [although could be fentanyl], Junk, Mexican tar, Smack)
Hydrocodone (Anexsia, Co-Gesic, Ibudone, Lorcet, Lortab, Margesic, Norco, Reprexin, Tussionex, Vicodin, Vicoprofen, Xodol, Zamicet, Zydone)
Hydromorphone (Dilaudid, Exalgo)
Morphine (Astramorph, Avinza, Duramorph, Kadian, MS, Contin, Oramorph, Roxanol, RMS)
Opium (Paregoric)
Oxycodone (Combunox, Endocet, Magnacet, OxyContin, Percocet, Primlev, Roxicet, Roxicodone, Roxilox, Roxiprin, Tylox, Xolox)
Oxymorphone (Opana)

POSSIBLE UNINTENDED POSITIVES:
Poppy seeds (Morphine) 

Specimen 25 mL (10.0 mL minimum) from a random urine collection in a non-sterile urine container. Send specimen refrigerated. 
Reference Values Not Detected
EIA cutoff concentration: 300 ng/mL

GC-MS cutoff concentrations
-Codeine 25 ng/mL
-Hydrocodone 25 ng/mL
-Hydromorphone 25 ng/mL
-Oxycodone 25 ng/mL
-Morphine 25 ng/mL
-Oxymorphone 25 ng/mL 

Analytic Time 1 Day; 4 Days if positive 
Day(s) Test Set Up Monday through Friday 
CPT Code(s) 80307  Drug screen, qualitative, single drug class method
80364  confirmation if indicated
G0480 or  G0481 or G0482 or G0483, Drug test(s), definitive (Government payers, if appropriate), if indicated