Drugs of Abuse, Meconium and Confirmation Tests

Centralized Core Laboratory : Chemistry

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. Drugs of Abuse, Meconium and Confirmation Tests
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

DASM5/MAYO

Specimen Type:

Meconium

Tube Type:

Sterile Container

Collection Volume:

1 gram meconium, frozen

Cause for Rejection:

Grossly bloody reject, Pink OK Stool Diapers

Storage:

Frozen

Availability:

Sent to reference laboratory

Methodology:

Testing begins with immunoassay screen. Positives are confirmed and quantitated by liquid chromatography-tandem mass spectrometry (LC-MS/MS)

Special Instructions:

Collect entire random meconium sample(minimum 0.45g (approx. 0.5 teaspoon)). Freeze upon receipt to the laboratory.

Lab/Phone:

330-543-8418

TAT:

4-6 days

Additional Info:

Positives are confirmed and quantitated by liquid chromatography-tandem mass spectrometry (LC-MS/MS) at an additional charge.

CPT Code:

80307 and if confirmation needed 80324, 80359, 80353, 80361, 80365, 83992, 803491

Panel Includes:

Identifying amphetamines (and methamphetamines), opiates, phencyclidine (PCP), as well as metabolites of cocaine and marijuana in meconium specimens. Positives are reported with a quantitative LC-MS/MS result. Cutoff concentrations: Amphetamines by ELISA: 100 ng/g Methamphetamine by ELISA: 100 ng/g Benzoylecgonine (cocaine metabolite) by ELISA: 100 ng/g Opiates by ELISA: 100 ng/g Tetrahydrocannabinol carboxylic acid (marijuana metabolite) by ELISA: 20 ng/g Phencyclidine by ELISA: 20 ng/g

Synonyms:

Amphetamines Angel Dust (Phencyclidine) Benzoylecgonine (Cocaine Metabolite) Cannabinoids (Tetrahydrocannabinol) Cocaine Coke (Cocaine) Crack (Cocaine) Desoxyn (Methamphetamines) Drugs of Abuse Heroin (as Morphine) Jane (Tetrahydrocannabinol) Killer Weed (Phencyclidine) Marijuana (Tetrahydrocannabinol) MDA (Methylenedioxyamphetamine) Metabolite for Methylenedioxyethylamphetamine (MDEA) and Methylenedioxymethamphetamine (MDMA) MDMA (Methylenedioxymethamphetamine) Meconium Drug Screen Methamphetamines (Desoxyn) Methylenedioxymethamphetamine (MDMA) Morphine Opiates PCP (Phencyclidine) Phencyclidine (PCP) Speed (Amphetamines) Tetrahydrocannabinol (THC) THC (Tetrahydrocannabinol) Mary Jane (Tetrahydrocannabinol) Methylenedioxyamphetamine (MDA) Metabolite for Methylenedioxyethylamphetamine (MDEA) and Methylenedioxymethamphetamine (MDMA)