Drug Monitoring, Heroin Metabolite, with Confirmation, Urine

Drug Monitoring, Heroin Metabolite, with Confirmation, Urine

Test Code

39376
80307
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
39376
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 may be available in your area for purchase through Quest Mobile.

Clinical Significance

Drug Monitoring, Heroin Metabolite, with Confirmation, Urine - 6-Monoacetylmorphine is the primary metabolite of heroin. The test is a screening assay using a homogeneous enzyme immunoassay method of analysis. Presumptive positive screen results are reflexed to a more specific and sensitive liquid chromatography mass spectroscopy (LC/MS/MS) methodology. Therapeutic urine drug monitoring of 6-Monoacetylmorphine is important for ensuring compliance to treatment strategies. Urine or oral fluid are the specimens of choice for routine monitoring of patients taking prescription drugs. Use of serum/plasma should be limited to anuretic patients, or where a patient's ...

Test Resources

None found for this test
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Test Details

Includes

  • If you require medMATCH for this order code, you must also order code 39158 - Prescribed Drugs, medMATCH®. If 39158 is ordered, all Drug Monitoring order codes will be treated as medMATCH.
  •  
  • If this test code is not ordered with 39158, all medMATCH result codes will be DNR’d.
  • .
  • Initial screen of the 6-Acetylmorphine drug class. If screen is positive, a confirmation will be performed at an additional charge (CPT code(s): 80356; G0480).
  • Confirmation includes the following analytes: 6-Acetylmorphine

Methodology

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)

6-Acetylmorphine <10 ng/mL
  6-Acetylmorphine <10 ng/mL

Alternative Name(s)

Prescription Drug Monitoring,Pain Management

LOINC® Codes, Performing Laboratory

Service Area must be determined
If you require medMATCH for this order code, you must also order code 39158 - Prescribed Drugs, medMATCH®. If 39158 is ordered, all Drug Monitoring order codes will be treated as medMATCH.

If this test code is not ordered with 39158, all medMATCH result codes will be DNR’d.
.
Initial screen of the 6-Acetylmorphine drug class. If screen is positive, a confirmation will be performed at an additional charge (CPT code(s): 80356; G0480).
Confirmation includes the following analytes: 6-Acetylmorphine

Methodology

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)

6-Acetylmorphine <10 ng/mL
  6-Acetylmorphine <10 ng/mL

Alternative Name(s)

Prescription Drug Monitoring,Pain Management
Service Area must be determined

Preferred Specimen(s)

20 mL urine

Alternative Specimen(s)

Urine collected in urine collection container

Minimum Volume

7 mL

Transport Container

Clinical drug test transport vial

Transport Temperature

Room temperature

Specimen Stability

  • Room temperature: 5 days
  • Refrigerated: 7 days
  • Frozen: 30 days

Reject Criteria

Preserved samples

Setup Schedule

Service Area must be determined
20 mL urine
Urine collected in urine collection container
7 mL
Clinical drug test transport vial
Room temperature
Room temperature: 5 days
Refrigerated: 7 days
Frozen: 30 days
Preserved samples
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 may be available in your area for purchase 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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