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Test Name:
Drug Screen 10, with Confirmation/Quantitation if Indicated, Urine

• SBMF No:
  31352
• Performance Lab Name:
  Toxicology
• Test Mnemonic:
  U DAS10/C
• ABN:
  May be required – Medical Necessity
• CPT Code:
  80101x10; 82570; 83986; 84311
  If positive, add appropriate CPT for drug confirmed: 82145 Amphetamines; 82205 Barbiturates; 80154 Benzodiazepines; 82520 Cocaine; 82542 Marijuana; 83840 Methadone; 82542 Methaqualone; 83925 Opiates; 83992 Phencyclidine; 83925 Propoxyphene
  

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  Medicare: G0434; 82570; 83986; 84311
  If positive, add appropriate CPT for drug confirmed: 82145 Amphetamines; 82205 Barbiturates; 80154 Benzodiazepines; 82520 Cocaine; 82542 Marijuana; 83840 Methadone; 82542 Methaqualone; 83925 Opiates; 83992 Phencyclidine; 83925 Propoxyphene
• LOINC Code:
  19344-1; 19554-5; 19359-9; 19411-8; 19597-4; 19659-2; 21556-6; 19270-8; 14316-4; 19429-0; 19550-3; 19558-6; 58400-3; 2161-8; 48767-8; 48767-8
• Test Includes:
  Amphetamines (Amphetamine, Methamphetamine)
  Barbiturates
  Benzodiazepines
  Cocaine
  Marijuana (THC Metabolite)
  Methadone
  Methaqualone
  Opiates (Codeine, Morphine)
  Phencyclidine
  Propoxyphene
  Oxidant Screen
  pH
  Creatinine
  Confirmation of positive screens
• Also See:
  31329 Drug Abuse Screen 11, includes Expanded Opiates/Opioids, with Confirmation/Quantitation, Urine, Random
• Spec Type:
  Urine, random
• Spec Container:
  Plastic container with tightly fitting lid (No preservative)
• Pref Vol:
  20.0 mL
• Min Vol:
  10.0 mL
• Spec Collect:
  Routine random urine collection
• Spec Process:
  Keep container tightly sealed
  Refrigerate promptly after collection
• Spec Store Transport:
  Refrigerated
• Spec Stability:
  5 days room temperature (20-30°C)
  1 week refrigerated (2-8°C)
• Spec Reject:
  Specimens other than urine
• Methodology:
  Enzyme Immunoassay (EIA) [Moderate Complexity]
  Gas Chromatography/Mass Spectrometry (GC/MS)
• Use:
  Drug regimen compliance and drug misuse detection
• Reference Range:
  

  DRUG SCREEN
  URINE:		RESULT	EIA CUTOFF
  	Amphetamine Methamphetamine Cocaine Metab. Codeine Morphine Phencyclidine THC Metabolite Barbiturates Benzodiazepines Propoxyphene Methadone Methaqualone	NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE	1000 ng/mL 1000 ng/mL 300 ng/mL 300 ng/mL 300 ng/mL 25 ng/mL 20 ng/mL 200 ng/mL 200 ng/mL 300 ng/mL 300 ng/mL 300 ng/mL
  Note: Forensic procedures not followed.
  	Oxidant Screen pH Screen Creatinine	NEGATIVE 4.5-8.9 > 20.0 mg/dL

• Additional Test Info:
  Screen-positive specimens are automatically confirmed by GC/MS. Additional charges may apply.
• Day Run:
  Mon-Fri
• Time Run:
  9:00 pm
• Time Reported:
  24 hours for neg
  48-72 hours if confirmation testing is required
• Test Type:
  TOX-TDM