Collect

Cut 6-8 inch of umbilical cord and drain and discard any blood. Rinse the cord segment with normal saline. Avoid using ethanol liquid or vapor with the umbilical cord.

Place the cord in umbilical container( obtain collection kit from lab.)  The kit has specimen handling instructions and a requisiton form. Form must be signed by the collector and sealed inside the kit. Distribution of copies: one copy sealed in kit, one copy to medical records, one copy to lab (keep this copy outside the kit.).

Unacceptable Conditions

Rejected if the kit is not assembled for transport according to the kit instructions.

Storage/Transport Temperature

Refrigerate for transport to referral lab.

Performed

Monday-Friday.

Remarks

Specimen tested for: Amphetamines, Benzodiazapines, Barbiturates, Cocaine, Methadone, Meperidine, Opiates, Phenylcylidine, Oxycodone, Cannabinoids, Propoxyphene, Tramadol, Ethyl Glucuronide

Confimation included if results are above screen limits.

Performed

Monday-Friday.

Methodology

Test referred to U.S. Drug testing laboratory.

Reported

Results in 2-5 business days.

Reference Interval

With report

Interpretive Data

CordStatSM

 

The current “best practices” procedure for diagnosing the in utero drug exposure of a fetus is testing the newborn’s meconium for the presence of drugs. Meconium is, however, difficult to collect. In up to 20 percent of live births, the meconium is released into the amniotic fluid pre-birth due to some type of fetal distress, drug and alcohol abuse often being one of these stress factors. While drugs may have induced this fetal distress, it is unlikely that these infants will be tested for drug exposure due to lack of available meconium for testing. The opportunity to provide these infants with appropriate treatment and intervention is lost.  

 

CordStatSM is a new drug test format that utilizes umbilical cord tissue as the sample matrix. CordStatSM provides several advantages over the meconium testing matrix:

  • Umbilical cord sections are easy to collect, store and ship.
  • Umbilical cord sections are always available for testing.
  • In many instances umbilical cord testing results will be available earlier (1-2 days) than meconium testing results.
  • Studies have shown that umbilical cord sections demonstrate a greater sensitivity than meconium for the specific drugs methamphetamine and marijuana.
  • Umbilical cord sections have a window of detection for abused drugs equal to or greater than that provided by meconium.

CPT Codes

80307

Test Build Information

OrderCode OrderName ResultCode ResultName ResultUnits LOINC CPT
CORD12 CORDSTAT 12 CSAMPH AMPHETAMINES     80307
CORD12 CORDSTAT 12 CSBARB BARBITURATES      
CORD12 CORDSTAT 12 CSBENZ BENZODIAZEPINES      
CORD12 CORDSTAT 12 CSCOCA COCAINE      
CORD12 CORDSTAT 12 CSMETH METHADONES      
CORD12 CORDSTAT 12 CSMERE MEPERIDINE      
CORD12 CORDSTAT 12 CSOPIA OPIATES      
CORD12 CORDSTAT 12 CSPCP PCP      
CORD12 CORDSTAT 12 CSOXYC OXYCODONE      
CORD12 CORDSTAT 12 CSPROP PROPOXYPHENE      
CORD12 CORDSTAT 12 CSCANN CANNABINOIDS      
CORD12 CORDSTAT 12 CSTRAM TRAMADOL      
CORD12 CORDSTAT 12 CSETG ETHYL GLUCURONIDE      
CORD12 CORDSTAT 12 CSCOMM CordStat12 Comment      

Additional Information

For additional information or questions, contact RPSInterfaceSupport@unmc.edu
 
Collection

Collect

Cut 6-8 inch of umbilical cord and drain and discard any blood. Rinse the cord segment with normal saline. Avoid using ethanol liquid or vapor with the umbilical cord.

Place the cord in umbilical container( obtain collection kit from lab.)  The kit has specimen handling instructions and a requisiton form. Form must be signed by the collector and sealed inside the kit. Distribution of copies: one copy sealed in kit, one copy to medical records, one copy to lab (keep this copy outside the kit.).

Unacceptable Conditions

Rejected if the kit is not assembled for transport according to the kit instructions.

Storage/Transport Temperature

Refrigerate for transport to referral lab.

Performed

Monday-Friday.

Remarks

Specimen tested for: Amphetamines, Benzodiazapines, Barbiturates, Cocaine, Methadone, Meperidine, Opiates, Phenylcylidine, Oxycodone, Cannabinoids, Propoxyphene, Tramadol, Ethyl Glucuronide

Confimation included if results are above screen limits.

Ordering

Performed

Monday-Friday.

Methodology

Test referred to U.S. Drug testing laboratory.

Reported

Results in 2-5 business days.

Result Interpretation

Reference Interval

With report

Interpretive Data

CordStatSM

 

The current “best practices” procedure for diagnosing the in utero drug exposure of a fetus is testing the newborn’s meconium for the presence of drugs. Meconium is, however, difficult to collect. In up to 20 percent of live births, the meconium is released into the amniotic fluid pre-birth due to some type of fetal distress, drug and alcohol abuse often being one of these stress factors. While drugs may have induced this fetal distress, it is unlikely that these infants will be tested for drug exposure due to lack of available meconium for testing. The opportunity to provide these infants with appropriate treatment and intervention is lost.  

 

CordStatSM is a new drug test format that utilizes umbilical cord tissue as the sample matrix. CordStatSM provides several advantages over the meconium testing matrix:

  • Umbilical cord sections are easy to collect, store and ship.
  • Umbilical cord sections are always available for testing.
  • In many instances umbilical cord testing results will be available earlier (1-2 days) than meconium testing results.
  • Studies have shown that umbilical cord sections demonstrate a greater sensitivity than meconium for the specific drugs methamphetamine and marijuana.
  • Umbilical cord sections have a window of detection for abused drugs equal to or greater than that provided by meconium.
Administrative

CPT Codes

80307
RPS Interface Information

Test Build Information

OrderCode OrderName ResultCode ResultName ResultUnits LOINC CPT
CORD12 CORDSTAT 12 CSAMPH AMPHETAMINES     80307
CORD12 CORDSTAT 12 CSBARB BARBITURATES      
CORD12 CORDSTAT 12 CSBENZ BENZODIAZEPINES      
CORD12 CORDSTAT 12 CSCOCA COCAINE      
CORD12 CORDSTAT 12 CSMETH METHADONES      
CORD12 CORDSTAT 12 CSMERE MEPERIDINE      
CORD12 CORDSTAT 12 CSOPIA OPIATES      
CORD12 CORDSTAT 12 CSPCP PCP      
CORD12 CORDSTAT 12 CSOXYC OXYCODONE      
CORD12 CORDSTAT 12 CSPROP PROPOXYPHENE      
CORD12 CORDSTAT 12 CSCANN CANNABINOIDS      
CORD12 CORDSTAT 12 CSTRAM TRAMADOL      
CORD12 CORDSTAT 12 CSETG ETHYL GLUCURONIDE      
CORD12 CORDSTAT 12 CSCOMM CordStat12 Comment      

Additional Information

For additional information or questions, contact RPSInterfaceSupport@unmc.edu