| Field Name |
Data Description |
| Test Name |
DRUG SCREEN, TISSUE |
| Code |
REFER |
|
CPT Code |
Suggested Medicare billing: replace CPT code 80100x2 with procedure code G0431x1; replace CPT code 80101x15 with procedure code G0434x1 |
| Last Modified |
4/22/2014 |
| Test Name |
|
| Synonyms |
|
| Patient Preparation |
|
| Spec. Requirements |
Tissue, not in formalin |
| Tube |
Screw Top Container |
| Collection Volume |
50 gm |
| Storage |
Refrigerated or frozen |
| Routine TAT |
2 weeks |
| STAT TAT |
|
| Days Test Performed |
|
| Performed by BHS |
None |
| See Availability |
|
| Reference Lab |
N/A |
| Reference Lab Code |
Tissue Drug Screen 330; Drug Screen, Tissue; |
| Clinical Use |
|
| Reference Range |
|
| Critical Value |
|
|
|
| Testing Sample Type |
Tissue, not in formalin |
| Min Lab Testing Volume |
50 gm |
| Special Handling |
List of drugs screened for in tissue: acetaminophen, acetone, acetylmorphine, alprazolam, amitriptyline, amobarbital, amoxapine and metabolite, amphetamine, barbital, barbiturates, benzodiazepines, benztropine, brompheniramine, bupropion and metabolites, butabarbital, butalbital, caffeine, carbamazepine and metabolite, carisoprodol, chlordiazepoxide and metabolites, chlorpheniramine and metabolite, chlorpromazine, chlorzoxazone, clomipramine and desmethylclomipramine, clonazepam, cocaine and metabolite, codeine, cyclobenzaprine, desalkylflurazepam, desipramine, desmethyldiazepam, dextromethorphan (as methorphan), diazepam and metabolites, diltiazem, diphenhydramine and metabolite, doxepin and desmethyldoxepin, doxylamine, ephedrine (and/or pseudoephedrine), ethosuximide, ethyl alcohol, flurazepam and metabolite, fluoxetine and norfluoxetine, fluvoxamine, glutethimide, guaifenesin, halazepam, heroin (as acetylmorphine and morphine), hydrocodone, hydromorphone, hydroxyzine and metabolite, ibuprofen andmetabolite, imipramine, isopropyl alcohol, ketoprofen, lidocaine and metabolite, lorazepam, loxapine and metabolite, mefenamic acid, meperidine and normeperidine, marijuana (as metabolite), mephobarbital, mepivacaine, meprobamate, mesoridazine, methadone and metabolite, methamphetamine, methapyrilene, methaqualone, methocarbamol, methorphan, methyl alcohol, methylphenidate, metoprolol, midazolam, morphine, naproxen and metabolite, nifedipine, nortriptyline, opiates, orphenadrine, oxaprozin, oxazepam, oxycodone, pentazocine, pentobarbital, phenacetin, phencyclidine, phenmetrazine, phenobarbital, phentermine, phenylpropanolamine, phenytoin, prazepam (as desmethyldiazepam), primidone, procainamide, procaine, promazine, promethazine, propoxyphene and metabolites, propranolol, protriptyline, pseudoephedrine (and/or ephedrine), pyrilamine, quazepam (as desalkylflurazepam), salicylate, secobarbital, sertraline and metabolite, temazepam, terfenadine metabolite, THC (marijuana) metabolite, theophylline, thiopental, thioridazine, tolmetin, tramadol and metabolites, triazolam, tricyclic antidepressants, trihexyphenidyl, trimipramine, tripelennamine, valproic acid, venlafaxine and metabolite, and verapamil and metabolite |
| Lab Notes |
Send to Medtox SPECIMEN |
| Methodology |
Immunoassay (IA); Gas Chromatography/Mass Spectrometry (GC/MS); Confirmation: Various |
| Limitations |
|
|
