Drug Toxicology Monitoring Base Panel, with Confirmation, Oral Fluid

Drug Toxicology Monitoring Base Panel, with Confirmation, Oral Fluid

Test Code

36862
80307
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
36862
80307
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection is not available in your area through Quest Mobile.

Clinical Significance

Drug Toxicology Monitoring Base Panel, with Confirmation, Oral Fluid - Oral fluid is composed of saliva, mixed with buccal and mucosal transudates, cellular debris, bacteria, and residue of ingested products. Oral fluid as a test matrix shows promise for detection of recent drug use, and a significant body of scientific literature documents drug disposition and detection times. Researchers comparing effectiveness of oral fluid and urine drug testing found a similar pattern and frequency of positive drug test results in the general workforce over the same general period. Similarly in pain clinics, the pattern of licit and illicit drugs and metabolites observed in oral ...

Test Resources

Test FAQ

Drug Toxicology Monitoring, Oral Fluid Testing

Test Details

Includes

  • Amphetamines, Benzodiazepines, Buprenorphine, Cocaine, Fentanyl, Heroin Metabolite, Marijuana, Methadone, Opiates, Tapentadol, Tramadol

    If screening drug class result is equal to or greater than the cutoff, confirmation testing will be performed at an additional charge. (CPT code(s): dependent on the drug class being confirmed - Amphetamines - 80324, Benzodiazepines - 80346, Buprenorphine - 80348, Cocaine - 80353, Fentanyl - 80354, Heroin Metabolite - 80356, Marijuana - 80349, Methadone - 80358, Opiates - 80361, Oxycodone - 80365, Tapentadol - 80372, Tramadol - 80373). HCPCS: G0480 or G0481

Patient Preparation

Quantisal™: Avoid any food or drink consumption, or gum or tobacco use for 10 minutes prior to collecting. If donor's mouth is not empty immediately prior to collection, have subject rinse mouth with water (up to 4 oz) and wait a minimum of 10 minutes before collecting a specimen.

Methodology

All tests excluding THC: Mass Spectrometry (MS)
THC: Screen: Immunoassay (IA) • Confirmation: Mass Spectrometry (MS)

Assay Category

This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Reference Range(s)

See Laboratory Report

LOINC® Codes, Performing Laboratory

Service Area must be determined
Amphetamines, Benzodiazepines, Buprenorphine, Cocaine, Fentanyl, Heroin Metabolite, Marijuana, Methadone, Opiates, Tapentadol, Tramadol

If screening drug class result is equal to or greater than the cutoff, confirmation testing will be performed at an additional charge. (CPT code(s): dependent on the drug class being confirmed - Amphetamines - 80324, Benzodiazepines - 80346, Buprenorphine - 80348, Cocaine - 80353, Fentanyl - 80354, Heroin Metabolite - 80356, Marijuana - 80349, Methadone - 80358, Opiates - 80361, Oxycodone - 80365, Tapentadol - 80372, Tramadol - 80373). HCPCS: G0480 or G0481
Quantisal™: Avoid any food or drink consumption, or gum or tobacco use for 10 minutes prior to collecting. If donor's mouth is not empty immediately prior to collection, have subject rinse mouth with water (up to 4 oz) and wait a minimum of 10 minutes before collecting a specimen.

Methodology

All tests excluding THC: Mass Spectrometry (MS)
THC: Screen: Immunoassay (IA) • Confirmation: Mass Spectrometry (MS)
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Reference Range(s)

See Laboratory Report
Service Area must be determined

Preferred Specimen(s)

1 mL oral fluid inserted into 3 mL buffer tube collected in Quantisal™ device

Minimum Volume

See preferred specimen collection guidance for minimum

Collection Instructions

Quantisal™: Using the standard Quantisal™ collection container, place the swab under the tongue. Donor should keep head down to allow gravity to help with saliva collection. Leave in place until blue dye indicates that the collection pad is saturated sufficiently. Follow collection instructions on package.

Transport Container

Quantisal™ collection device

Transport Temperature

Quantisal™: Room temperature

Specimen Stability

  • Quantisal™
    Room temperature: 10 days
    Refrigerated: 30 days
    Frozen: 30 days

Reject Criteria

Specimens submitted in a non-Quantisal™ collection device • Specimens received with any food debris or foreign objects present in the sample • Multiple swabs present in a single device • No swab present with the device • Quantisal™: Collection wand inverted inside the collection tube

Setup Schedule

Service Area must be determined
1 mL oral fluid inserted into 3 mL buffer tube collected in Quantisal™ device
See preferred specimen collection guidance for minimum
Quantisal™: Using the standard Quantisal™ collection container, place the swab under the tongue. Donor should keep head down to allow gravity to help with saliva collection. Leave in place until blue dye indicates that the collection pad is saturated sufficiently. Follow collection instructions on package.
Quantisal™ collection device
Quantisal™: Room temperature
Quantisal™
Room temperature: 10 days
Refrigerated: 30 days
Frozen: 30 days
Specimens submitted in a non-Quantisal™ collection device • Specimens received with any food debris or foreign objects present in the sample • Multiple swabs present in a single device • No swab present with the device • Quantisal™: Collection wand inverted inside the collection tube
Service Area must be determined
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection is not available in your area through Quest Mobile.
Test Details

Clinical Significance

Test Resources

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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