Synthetic Opioids, Screen With Reflexed Confirmation, Qualitative, Urine

CPT: 80307
Updated on 11/1/2017
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Test Details

Synonyms

  • Designer opioids
  • Synthetic fentanyls

Test Includes

Synthetic opioid analysis includes the following analytes: Fentanyl, Acetylfentanyl, Furanyl fentanyl, p-Fluorobutyrlfentanyl, Acrylfentanyl, Butyrl fentanyl, Valeryl fentanyl, 3-Methyl fentanyl, MT-45, W-19, Norfentanyl, Acetylfentanyl-4-methylphenethyl, 4-ANPP, p-Flourofentanyl, Ocfentanil, 4-Methoxy butyrlfentanyl, AH-7921, U-47700, AH-8533, AH-8529, IC-26, W-18, W-15, nor-W-18/W-015, β-Hydroxy thiofentanyl, mitragynine, 7-OH-mitragynine, Norcarfentanil, Acetyl norfentanyl.

Use

Detect use of synthetic opioid drugs.

Limitations

This test was developed, and its performance characteristics determined, by LabCorp. It has not been cleared or approved by the US Food and Drug Administration (FDA).

Methodology

Initial presumptive testing by liquid chromatography tandem mass spectrometry (LC/MS-MS); presumptive positives confirmed by definitive liquid chromatography tandem mass spectrometry (LC/MS-MS).

Specimen Requirements

Specimen

Urine (random)

Volume

10 mL

Minimum Volume

1 mL

Container

Plastic urine container without preservative

Storage Instructions

Submission/Transport (<3 days): Room Temperature. For storage beyond three days, specimen should be refrigerated or frozen.

Causes for Rejection

Urine in preservative tube

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
701364 Synthetic Opioids,Scr w/Conf,U 701358 Synthetic Opioids Pending
701364 Synthetic Opioids,Scr w/Conf,U 702140 Synthetic Opioids,Scr w/Conf,U N/A
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701142 SYNTHETIC CANNABINOIDS 67126-3
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701143 AB-CHMINACA Butanoic Acid PENDING
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701145 AB-CHMINACA Hydroxycyclohexyl PENDING
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701146 AB-FUBINACA Oxobutanoic Acid PENDING
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701147 AB-PINACA Pentanoic Acid PENDING
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701148 ADBICA N-(4-hydroxypentyl) PENDING
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701149 ADBICA Pentanoic Acid PENDING
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701150 ADB-PINACA Pentanoic Acid PENDING
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701152 AKB-48 N-Pentanoic Acid PENDING
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701153 AM694 N-(5-hydroxypentyl) PENDING
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701154 BB-22 3-Carboxyindole PENDING
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701155 JWH-018 N-Pentanoic Acid 72461-7
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701156 JWH-073 N-Butanoic Acid 72460-9
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701157 JWH-250 N-(5-Carboxypentyl) 73917-7
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701158 MAB-CHMINACA Butanoic Acid PENDING
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701159 MAM-2201 N-Pentanoic Acid 72470-8
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701160 PB-22 3-Carboxyindole PENDING
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701161 5F-PB-22 3-Carboxyindole Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701162 UR-144 N-Pentanoic Acid Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701163 XLR-11 N-(4-hydroxypentyl) Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701107 Synthetic Cannabinoids,Conf,Ur 701164 Comment N/A
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 701361 Synthetic Opioids Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702110 Fentanyl ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702111 B-hydroxy thofentanyl ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702112 Norfentanyl ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702113 Acetylfentanyl ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702114 Acetylfent-4-methylphenethyl ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702115 Acetyl norfentanyl ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702116 Furanyl fentanyl ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702117 p-Fluorobutyrylfentanyl ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702119 Acrylfentanyl ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702120 Butyryl fentanyl ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702121 Valeryl fentanyl ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702122 3-Methyl fentanyl ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702123 p-Fluorofentanyl ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702124 Ocfentanil ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702125 Norcarfentanil ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702127 4-Methoxy butyrylfentanyl ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702128 AH-7921 ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702129 U-47700 ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702130 AH-8533 ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702131 AH-8529 ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702132 MT-45 Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702133 IC-26 ng/mL Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702135 W-18 Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702136 W-15 Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702137 W-19 Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702138 Nor-W18/W-15 Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701368 Synthetic Opioids Confirmation 702139 COMMENT Pending
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 791752 Kratom Confirmation 791754 Mitragynine ng/mL 72732-1
Reflex Table for Synthetic Opioids
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 791752 Kratom Confirmation 791755 7-Hydroxymitragynine, Qual 75643-7

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The LOINC® codes are copyright © 1994-2017, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC® codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. Additional information regarding LOINC® codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf