Synthetic Opioids, Screen With Reflexed Confirmation, Urine

TEST: 703025
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CPT: 80307
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Test Includes

Synthetic opioid analysis includes the following analytes: Fentanyl, Acetyl fentanyl, Norfentanyl, Acetyl Norfentanyl, Furanyl fentanyl, p-Fluorobutyrylfentanyl, Acrylfentanyl, Butyryl fentanyl, Carfentanil, 3-Methyl fentanyl, Valeryl fentanyl, Methoxyacetyl fentanyl, Cyclopropyl fentanyl, Tetrahydrofuran fentanyl, Phenylacetyl fentanyl, p-Fluoro cyclopropyl fentanyl, MT-45, Butyryl fentanyl carboxy metabolite, Isotonitazine, Metonitazene, Acetylfentanyl-4-methylphenethyl, Ocfentanil, p-Fluorofentanyl, 4-Methoxy-butyryl fentanyl, AH-7921, U-47700, AH-8533, AH-8529, IC-26, B-Hydroxythiofentanyl, Norcarfentanil, Xylazine, 4-Hydroxy xylazine, Methoxyacetyl Norfentanyl, Mitragynine, 7-OH-mitragynine.

Expected Turnaround Time

5 - 7 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Related Documents

Specimen Requirements

Specimen

Urine (random)

Volume

10 mL

Minimum Volume

1 mL

Container

Plastic urine container without preservative

Collection

Collect urine in a 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 container

Test Details

Use

Detect use of synthetic opioid drugs

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).

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
703025 SYNTHETIC OPIOIDS,SCR w/CONF,U 703094 SYNTHETIC OPIOIDS GROUP A 12554-2
703025 SYNTHETIC OPIOIDS,SCR w/CONF,U 703095 SYNTHETIC OPIOIDS GROUP B 12554-2
703025 SYNTHETIC OPIOIDS,SCR w/CONF,U 703096 KRATOM 96058-3
Reflex Table for SYNTHETIC OPIOIDS GROUP A
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703028 SYNTHETIC OPIOIDS CONFIRM A, U 703024 SYNTHETIC OPIOIDS GROUP A Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP A
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703028 SYNTHETIC OPIOIDS CONFIRM A, U 703029 Fentanyl 40839-3
Reflex Table for SYNTHETIC OPIOIDS GROUP A
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703028 SYNTHETIC OPIOIDS CONFIRM A, U 703030 Norfentanyl Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP A
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703028 SYNTHETIC OPIOIDS CONFIRM A, U 703031 Acetyl fentanyl 74810-3
Reflex Table for SYNTHETIC OPIOIDS GROUP A
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703028 SYNTHETIC OPIOIDS CONFIRM A, U 703032 Acetyl Norfentanyl Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703572 SYNTHETIC OPIOIDS GROUP B Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703093 B-Hydroxythiofentanyl Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703092 Acetylfent-4-methylphenethyl Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703091 Furanyl fentanyl 99081-2
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 704000 3-Methyl fentanyl Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703081 4-Methoxy-butyryl fentanyl Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703014 Methoxyacetyl fentanyl Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703020 Methoxyacetyl norfentanyl Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703015 Cyclopropyl fentanyl Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703017 Tetrahydrofuran fentanyl Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703018 Phenylacetyl fentanyl Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703080 AH-7921 Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703077 AH-8533 Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703074 IC-26 Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703090 p-Fluorobutyrylfentanyl Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703089 Acrylfentanyl 99079-6
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703088 Butyryl fentanyl Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703019 Butyryl fentanyl carboxy mtb Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 704001 Valeryl fentanyl Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703099 p-Fluorofentanyl 101162-6
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703098 Ocfentanil Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703013 Carfentanil Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703082 Norcarfentanil Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703016 p-Fluoro cyclopropyl fentanyl Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703078 U-47700 Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703076 AH-8529 Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703075 MT-45 Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703035 Isotonitazene Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703036 Metonitazene 101168-3
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703037 Xylazine 101809-2
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703038 4-Hydroxy xylazine Pending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703073 COMMENT Pending
Reflex Table for KRATOM
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703027 KRATOM CONFIRMATION, U 703021 KRATOM Pending
Reflex Table for KRATOM
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703027 KRATOM CONFIRMATION, U 703022 Mitragynine Pending
Reflex Table for KRATOM
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703027 KRATOM CONFIRMATION, U 703023 7-Hydroxymitragynine Pending

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The LOINC® codes are copyright © 1994-2021, 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