Synthetic Opioids, Screen With Reflexed Confirmation, Urine

Synthetic Opioids, Screen with Reflexed Confirmation, Urine
Synthetic Opioids, Screen With Reflexed Confirmation, Urine
CPT: 80307
Updated on 01/19/2023
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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.

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, Acetylfentanyl-4-methylphenethyl, Ocfentanil, p-Fluorofentanyl, 4-Methoxy-butyryl fentanyl, AH-7921, U-47700, AH-8533, AH-8529, IC-26, B-Hydroxythiofentanyl, Norcarfentanil, Methoxyacetyl Norfentanyl, Mitragynine, 7-OH-mitragynine.

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

5 - 7 days

5 - 7 days

5 - 7 days

5 - 7 days


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 ng/mL 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 703030 Norfentanyl ng/mL 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 ng/mL 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 703032 Acetyl Norfentanyl ng/mL 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 ng/mL 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 ng/mL 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 ng/mL 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 704000 3-Methyl fentanyl ng/mL 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 ng/mL 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 ng/mL 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 ng/mL 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 ng/mL 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 ng/mL 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 ng/mL 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 ng/mL 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 ng/mL 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 ng/mL 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 ng/mL 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 703088 Butyryl fentanyl ng/mL 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 ng/mL 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 ng/mL 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 ng/mL 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 703098 Ocfentanil ng/mL 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 ng/mL 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 ng/mL 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 ng/mL 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 ng/mL 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 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 ng/mL 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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