Ordering Recommendations

The primary use of this immunoassay is to screen for use of common drugs when there is a suspicion that drug use may be contributing to the clinical picture (e.g. altered mental status, coma).

Due to extensive cross reactivity and the inability of this assay to detect commonly prescribed medications (e.g. hydrocodone) it is not useful for determine patient adherence to therapeutic regimens or potential drug diversion. For this purpose order specific drug tests (e.g. Opiates, urine, quantitative).

Available Stat

Yes

Performing Lab

Parnassus & Mission Bay Chemistry

Performed

Test available 24 hours per day 7 days per week

Methodology

Enzyme immunoassay method

Reported

Stat 2 hours, Routine 4 hours

Additional Information

This test is NOT useful for the detection or monitoring of prescribed opiates such as codeine or therapeutic level of hydromorphone, or hydrocodone. See cross reactivity information below.

This test is not recommended for neonates where there is a question of maternal drug abuse as it is not as sensitive as the Quest drug screen panel in meconium (Quest #30427X: Neonatal Drug Screen, Meconium; required specimen: 5g of meconium).

This test panel screens for the presence of: Amphetamines, Barbiturates, Benzodiazepine, Cocaine (as benzoylecgonine), Cannabinoids, Fentanyl, Methadone, Oxycodone, and Opiates.

Each of the above panel components can be ordered separately.

This testing is performed using immunologic methods therefore these assays may cross-react with similar compounds. For a listing of the cross-reactivities see the test menu entry for the individual drug/metabolite.

Detection Cutoff Limits:

Drug/metabolite

Cutoff

Reported as

Amphetamines

<1000 µg/L

NEG

Barbiturates

<200 µg/L

NEG

Benzodiazepines

<200 µg/L

NEG

Cocaine metabolite

<300 µg/L

NEG

Opiates

<300 µg/L

NEG

Cannabinoids

<50 µg/L

NEG

Fentanyl <1 µg/L NEG
Methadone <300 µg/L NEG
Oxycodone <100 µg/L NEG


CAUTION!: Presumptive screening test only. Cross reactions and false-positive results may occur within each drug class. However, positive results are NOT routinely confirmed by a second method. If confirmation of the test result is required, it is the responsibility of the physician to separately order a specific confirmatory test for the drug(s) identified. False negative results can also occur in presence of low drug concentrations or drugs/metabolites that do not react in the assay [Click on the name of the drug(s) of interest from the list above for more information].

This test is NOT useful for the detection or monitoring of prescribed opiates such as codeine, or for therapeutic concentrations of hydromorphone or hydrocodone. (See cross reactivity information above).
 If hydrocodone or hydromorphone use is suspected, an opiate confirmation should be ordered from ARUP (test code: OPIQNT). False negative results may also occur as use of synthetic and some semi-synthetic opiates cannot be ruled out by this assay. Specifically, this assay will not detect use of meperidine or tramadol. If use of opiates not detected by this screen is suspected, immunoassay screens can be ordered from ARUP [e.g. meperidine (ARUP#2102288) or tramadol (ARUP#2012297)].

Typical Urine Detection Window after use:

Drug

Detection Time (hrs)

Max. Detection Time (days)

Amphetamine

24

9

Methamphetamine

87+/-51

6

Cannabis

34

95

Cocaine

48-72

22

Morphine

11-54

11

Barbiturates

24

1-4 (Phenobarbital)

Benzodiazepines

6

14 or longer in chronic users

Fentanyl 24-72 7
Methadone 24-72 14
Oxydodone 30-40 3



From: Verstraete AG. Detection Times of Drugs of Abuse in Blood, Urine and Oral Fluid. Ther Drug Monit, 26(2) April 2004, 200-205; Kale N.  Urine drug tests: ordering and interpreting results.  Am Fam Physician, 2019 99(1): 33-39.

Results cannot be used for Medico-legal purposes.

Confirmatory testing can be ordered for the specific class of agent found using the test order codes found under the 'Processing' tab of this test menu entry.


Confirmatory testing performed Monday-Friday with a 3-6 day turn around time after receipt by reference laboratory.

See also Drug Screening and individual drug entries.

Synonyms

  • amphetamines
  • barbiturates
  • cocaine
  • opiates
  • benzodiazepines
  • THC
  • cannabinoids
  • cannibis
  • cocaine metabolites
  • benzoylecgonine
  • drug screen
  • drug test
  • cannabis
  • methadone
  • oxycodone
  • fentanyl
  • norfentanyl
  • fentanyl analogues

Sample Type

Random urine

Collect

Urine cup

Amount to Collect

See preferred volume

Preferred Volume

10 mL urine

Minimum Volume

1.5 mL urine (insufficient for confirmation)

Stability (from collection to initiation)

Refrigerated 1 week, frozen 2 weeks

Test Code

DAU

Test Group

Drug screening

Performing Lab

Parnassus & Mission Bay Chemistry

Specimen Preparation

Refrigerate. If requested freeze excess sample not used for this test for possible confirmatory testing at -20C  

Confirmatory testing can be ordered for the specific class of agent found using the following test order codes:  

 

Amphetamines

AMPQNT

ARUP #2010075

Barbiturates

BARQNT

ARUP #2012213

Benzodiazepines

BNZQNT

ARUP #2008291

Cocaine metabolite

COCQNT

ARUP# 0090359

Opiates

OPIQNT

ARUP #0090364

THC (Cannabinoids)

THCQNT

ARUP #0090369

Fentanyl FENQNT Quest #39393
Oxycodone OPIQNT ARUP #0090364
Methadone MEDQNT ARUP #0090362

Preferred Volume

10 mL urine

Minimum Volume

1.5 mL urine (insufficient for confirmation)

Stability (from collection to initiation)

Refrigerated 1 week, frozen 2 weeks

Reference Interval

Negative (Note: a negative result indicates that the specific class of drugs is not present, or is present at a concentration below that of the cut off concentration. See each drug class for specific concentration cut-offs).

Additional Information

This test is NOT useful for the detection or monitoring of prescribed opiates such as codeine or therapeutic level of hydromorphone, or hydrocodone. See cross reactivity information below.

This test is not recommended for neonates where there is a question of maternal drug abuse as it is not as sensitive as the Quest drug screen panel in meconium (Quest #30427X: Neonatal Drug Screen, Meconium; required specimen: 5g of meconium).

This test panel screens for the presence of: Amphetamines, Barbiturates, Benzodiazepine, Cocaine (as benzoylecgonine), Cannabinoids, Fentanyl, Methadone, Oxycodone, and Opiates.

Each of the above panel components can be ordered separately.

This testing is performed using immunologic methods therefore these assays may cross-react with similar compounds. For a listing of the cross-reactivities see the test menu entry for the individual drug/metabolite.

Detection Cutoff Limits:

Drug/metabolite

Cutoff

Reported as

Amphetamines

<1000 µg/L

NEG

Barbiturates

<200 µg/L

NEG

Benzodiazepines

<200 µg/L

NEG

Cocaine metabolite

<300 µg/L

NEG

Opiates

<300 µg/L

NEG

Cannabinoids

<50 µg/L

NEG

Fentanyl <1 µg/L NEG
Methadone <300 µg/L NEG
Oxycodone <100 µg/L NEG


CAUTION!: Presumptive screening test only. Cross reactions and false-positive results may occur within each drug class. However, positive results are NOT routinely confirmed by a second method. If confirmation of the test result is required, it is the responsibility of the physician to separately order a specific confirmatory test for the drug(s) identified. False negative results can also occur in presence of low drug concentrations or drugs/metabolites that do not react in the assay [Click on the name of the drug(s) of interest from the list above for more information].

This test is NOT useful for the detection or monitoring of prescribed opiates such as codeine, or for therapeutic concentrations of hydromorphone or hydrocodone. (See cross reactivity information above).
 If hydrocodone or hydromorphone use is suspected, an opiate confirmation should be ordered from ARUP (test code: OPIQNT). False negative results may also occur as use of synthetic and some semi-synthetic opiates cannot be ruled out by this assay. Specifically, this assay will not detect use of meperidine or tramadol. If use of opiates not detected by this screen is suspected, immunoassay screens can be ordered from ARUP [e.g. meperidine (ARUP#2102288) or tramadol (ARUP#2012297)].

Typical Urine Detection Window after use:

Drug

Detection Time (hrs)

Max. Detection Time (days)

Amphetamine

24

9

Methamphetamine

87+/-51

6

Cannabis

34

95

Cocaine

48-72

22

Morphine

11-54

11

Barbiturates

24

1-4 (Phenobarbital)

Benzodiazepines

6

14 or longer in chronic users

Fentanyl 24-72 7
Methadone 24-72 14
Oxydodone 30-40 3



From: Verstraete AG. Detection Times of Drugs of Abuse in Blood, Urine and Oral Fluid. Ther Drug Monit, 26(2) April 2004, 200-205; Kale N.  Urine drug tests: ordering and interpreting results.  Am Fam Physician, 2019 99(1): 33-39.

Results cannot be used for Medico-legal purposes.

Confirmatory testing can be ordered for the specific class of agent found using the test order codes found under the 'Processing' tab of this test menu entry.


Confirmatory testing performed Monday-Friday with a 3-6 day turn around time after receipt by reference laboratory.

See also Drug Screening and individual drug entries.

CPT Codes

80307

Available Stat

Yes

Ordering Recommendations

The primary use of this immunoassay is to screen for use of common drugs when there is a suspicion that drug use may be contributing to the clinical picture (e.g. altered mental status, coma).

Due to extensive cross reactivity and the inability of this assay to detect commonly prescribed medications (e.g. hydrocodone) it is not useful for determine patient adherence to therapeutic regimens or potential drug diversion. For this purpose order specific drug tests (e.g. Opiates, urine, quantitative).

Test Code

DAU

Test Group

Drug screening

Performing Lab

Parnassus & Mission Bay Chemistry

Performed

Test available 24 hours per day 7 days per week

Methodology

Enzyme immunoassay method

Collect

Urine cup

Amount to Collect

See preferred volume

Sample Type

Random urine

Preferred Volume

10 mL urine

Minimum Volume

1.5 mL urine (insufficient for confirmation)

Specimen Preparation

Refrigerate. If requested freeze excess sample not used for this test for possible confirmatory testing at -20C  

Confirmatory testing can be ordered for the specific class of agent found using the following test order codes:  

 

Amphetamines

AMPQNT

ARUP #2010075

Barbiturates

BARQNT

ARUP #2012213

Benzodiazepines

BNZQNT

ARUP #2008291

Cocaine metabolite

COCQNT

ARUP# 0090359

Opiates

OPIQNT

ARUP #0090364

THC (Cannabinoids)

THCQNT

ARUP #0090369

Fentanyl FENQNT Quest #39393
Oxycodone OPIQNT ARUP #0090364
Methadone MEDQNT ARUP #0090362

Reference Interval

Negative (Note: a negative result indicates that the specific class of drugs is not present, or is present at a concentration below that of the cut off concentration. See each drug class for specific concentration cut-offs).

Synonyms

  • amphetamines
  • barbiturates
  • cocaine
  • opiates
  • benzodiazepines
  • THC
  • cannabinoids
  • cannibis
  • cocaine metabolites
  • benzoylecgonine
  • drug screen
  • drug test
  • cannabis
  • methadone
  • oxycodone
  • fentanyl
  • norfentanyl
  • fentanyl analogues

Stability (from collection to initiation)

Refrigerated 1 week, frozen 2 weeks

Reported

Stat 2 hours, Routine 4 hours

Additional Information

This test is NOT useful for the detection or monitoring of prescribed opiates such as codeine or therapeutic level of hydromorphone, or hydrocodone. See cross reactivity information below.

This test is not recommended for neonates where there is a question of maternal drug abuse as it is not as sensitive as the Quest drug screen panel in meconium (Quest #30427X: Neonatal Drug Screen, Meconium; required specimen: 5g of meconium).

This test panel screens for the presence of: Amphetamines, Barbiturates, Benzodiazepine, Cocaine (as benzoylecgonine), Cannabinoids, Fentanyl, Methadone, Oxycodone, and Opiates.

Each of the above panel components can be ordered separately.

This testing is performed using immunologic methods therefore these assays may cross-react with similar compounds. For a listing of the cross-reactivities see the test menu entry for the individual drug/metabolite.

Detection Cutoff Limits:

Drug/metabolite

Cutoff

Reported as

Amphetamines

<1000 µg/L

NEG

Barbiturates

<200 µg/L

NEG

Benzodiazepines

<200 µg/L

NEG

Cocaine metabolite

<300 µg/L

NEG

Opiates

<300 µg/L

NEG

Cannabinoids

<50 µg/L

NEG

Fentanyl <1 µg/L NEG
Methadone <300 µg/L NEG
Oxycodone <100 µg/L NEG


CAUTION!: Presumptive screening test only. Cross reactions and false-positive results may occur within each drug class. However, positive results are NOT routinely confirmed by a second method. If confirmation of the test result is required, it is the responsibility of the physician to separately order a specific confirmatory test for the drug(s) identified. False negative results can also occur in presence of low drug concentrations or drugs/metabolites that do not react in the assay [Click on the name of the drug(s) of interest from the list above for more information].

This test is NOT useful for the detection or monitoring of prescribed opiates such as codeine, or for therapeutic concentrations of hydromorphone or hydrocodone. (See cross reactivity information above).
 If hydrocodone or hydromorphone use is suspected, an opiate confirmation should be ordered from ARUP (test code: OPIQNT). False negative results may also occur as use of synthetic and some semi-synthetic opiates cannot be ruled out by this assay. Specifically, this assay will not detect use of meperidine or tramadol. If use of opiates not detected by this screen is suspected, immunoassay screens can be ordered from ARUP [e.g. meperidine (ARUP#2102288) or tramadol (ARUP#2012297)].

Typical Urine Detection Window after use:

Drug

Detection Time (hrs)

Max. Detection Time (days)

Amphetamine

24

9

Methamphetamine

87+/-51

6

Cannabis

34

95

Cocaine

48-72

22

Morphine

11-54

11

Barbiturates

24

1-4 (Phenobarbital)

Benzodiazepines

6

14 or longer in chronic users

Fentanyl 24-72 7
Methadone 24-72 14
Oxydodone 30-40 3



From: Verstraete AG. Detection Times of Drugs of Abuse in Blood, Urine and Oral Fluid. Ther Drug Monit, 26(2) April 2004, 200-205; Kale N.  Urine drug tests: ordering and interpreting results.  Am Fam Physician, 2019 99(1): 33-39.

Results cannot be used for Medico-legal purposes.

Confirmatory testing can be ordered for the specific class of agent found using the test order codes found under the 'Processing' tab of this test menu entry.


Confirmatory testing performed Monday-Friday with a 3-6 day turn around time after receipt by reference laboratory.

See also Drug Screening and individual drug entries.

CPT Codes

80307
Ordering

Ordering Recommendations

The primary use of this immunoassay is to screen for use of common drugs when there is a suspicion that drug use may be contributing to the clinical picture (e.g. altered mental status, coma).

Due to extensive cross reactivity and the inability of this assay to detect commonly prescribed medications (e.g. hydrocodone) it is not useful for determine patient adherence to therapeutic regimens or potential drug diversion. For this purpose order specific drug tests (e.g. Opiates, urine, quantitative).

Available Stat

Yes

Performing Lab

Parnassus & Mission Bay Chemistry

Performed

Test available 24 hours per day 7 days per week

Methodology

Enzyme immunoassay method

Reported

Stat 2 hours, Routine 4 hours

Additional Information

This test is NOT useful for the detection or monitoring of prescribed opiates such as codeine or therapeutic level of hydromorphone, or hydrocodone. See cross reactivity information below.

This test is not recommended for neonates where there is a question of maternal drug abuse as it is not as sensitive as the Quest drug screen panel in meconium (Quest #30427X: Neonatal Drug Screen, Meconium; required specimen: 5g of meconium).

This test panel screens for the presence of: Amphetamines, Barbiturates, Benzodiazepine, Cocaine (as benzoylecgonine), Cannabinoids, Fentanyl, Methadone, Oxycodone, and Opiates.

Each of the above panel components can be ordered separately.

This testing is performed using immunologic methods therefore these assays may cross-react with similar compounds. For a listing of the cross-reactivities see the test menu entry for the individual drug/metabolite.

Detection Cutoff Limits:

Drug/metabolite

Cutoff

Reported as

Amphetamines

<1000 µg/L

NEG

Barbiturates

<200 µg/L

NEG

Benzodiazepines

<200 µg/L

NEG

Cocaine metabolite

<300 µg/L

NEG

Opiates

<300 µg/L

NEG

Cannabinoids

<50 µg/L

NEG

Fentanyl <1 µg/L NEG
Methadone <300 µg/L NEG
Oxycodone <100 µg/L NEG


CAUTION!: Presumptive screening test only. Cross reactions and false-positive results may occur within each drug class. However, positive results are NOT routinely confirmed by a second method. If confirmation of the test result is required, it is the responsibility of the physician to separately order a specific confirmatory test for the drug(s) identified. False negative results can also occur in presence of low drug concentrations or drugs/metabolites that do not react in the assay [Click on the name of the drug(s) of interest from the list above for more information].

This test is NOT useful for the detection or monitoring of prescribed opiates such as codeine, or for therapeutic concentrations of hydromorphone or hydrocodone. (See cross reactivity information above).
 If hydrocodone or hydromorphone use is suspected, an opiate confirmation should be ordered from ARUP (test code: OPIQNT). False negative results may also occur as use of synthetic and some semi-synthetic opiates cannot be ruled out by this assay. Specifically, this assay will not detect use of meperidine or tramadol. If use of opiates not detected by this screen is suspected, immunoassay screens can be ordered from ARUP [e.g. meperidine (ARUP#2102288) or tramadol (ARUP#2012297)].

Typical Urine Detection Window after use:

Drug

Detection Time (hrs)

Max. Detection Time (days)

Amphetamine

24

9

Methamphetamine

87+/-51

6

Cannabis

34

95

Cocaine

48-72

22

Morphine

11-54

11

Barbiturates

24

1-4 (Phenobarbital)

Benzodiazepines

6

14 or longer in chronic users

Fentanyl 24-72 7
Methadone 24-72 14
Oxydodone 30-40 3



From: Verstraete AG. Detection Times of Drugs of Abuse in Blood, Urine and Oral Fluid. Ther Drug Monit, 26(2) April 2004, 200-205; Kale N.  Urine drug tests: ordering and interpreting results.  Am Fam Physician, 2019 99(1): 33-39.

Results cannot be used for Medico-legal purposes.

Confirmatory testing can be ordered for the specific class of agent found using the test order codes found under the 'Processing' tab of this test menu entry.


Confirmatory testing performed Monday-Friday with a 3-6 day turn around time after receipt by reference laboratory.

See also Drug Screening and individual drug entries.

Synonyms

  • amphetamines
  • barbiturates
  • cocaine
  • opiates
  • benzodiazepines
  • THC
  • cannabinoids
  • cannibis
  • cocaine metabolites
  • benzoylecgonine
  • drug screen
  • drug test
  • cannabis
  • methadone
  • oxycodone
  • fentanyl
  • norfentanyl
  • fentanyl analogues
Collection

Sample Type

Random urine

Collect

Urine cup

Amount to Collect

See preferred volume

Preferred Volume

10 mL urine

Minimum Volume

1.5 mL urine (insufficient for confirmation)

Stability (from collection to initiation)

Refrigerated 1 week, frozen 2 weeks
Processing

Test Code

DAU

Test Group

Drug screening

Performing Lab

Parnassus & Mission Bay Chemistry

Specimen Preparation

Refrigerate. If requested freeze excess sample not used for this test for possible confirmatory testing at -20C  

Confirmatory testing can be ordered for the specific class of agent found using the following test order codes:  

 

Amphetamines

AMPQNT

ARUP #2010075

Barbiturates

BARQNT

ARUP #2012213

Benzodiazepines

BNZQNT

ARUP #2008291

Cocaine metabolite

COCQNT

ARUP# 0090359

Opiates

OPIQNT

ARUP #0090364

THC (Cannabinoids)

THCQNT

ARUP #0090369

Fentanyl FENQNT Quest #39393
Oxycodone OPIQNT ARUP #0090364
Methadone MEDQNT ARUP #0090362

Preferred Volume

10 mL urine

Minimum Volume

1.5 mL urine (insufficient for confirmation)

Stability (from collection to initiation)

Refrigerated 1 week, frozen 2 weeks
Result Interpretation

Reference Interval

Negative (Note: a negative result indicates that the specific class of drugs is not present, or is present at a concentration below that of the cut off concentration. See each drug class for specific concentration cut-offs).

Additional Information

This test is NOT useful for the detection or monitoring of prescribed opiates such as codeine or therapeutic level of hydromorphone, or hydrocodone. See cross reactivity information below.

This test is not recommended for neonates where there is a question of maternal drug abuse as it is not as sensitive as the Quest drug screen panel in meconium (Quest #30427X: Neonatal Drug Screen, Meconium; required specimen: 5g of meconium).

This test panel screens for the presence of: Amphetamines, Barbiturates, Benzodiazepine, Cocaine (as benzoylecgonine), Cannabinoids, Fentanyl, Methadone, Oxycodone, and Opiates.

Each of the above panel components can be ordered separately.

This testing is performed using immunologic methods therefore these assays may cross-react with similar compounds. For a listing of the cross-reactivities see the test menu entry for the individual drug/metabolite.

Detection Cutoff Limits:

Drug/metabolite

Cutoff

Reported as

Amphetamines

<1000 µg/L

NEG

Barbiturates

<200 µg/L

NEG

Benzodiazepines

<200 µg/L

NEG

Cocaine metabolite

<300 µg/L

NEG

Opiates

<300 µg/L

NEG

Cannabinoids

<50 µg/L

NEG

Fentanyl <1 µg/L NEG
Methadone <300 µg/L NEG
Oxycodone <100 µg/L NEG


CAUTION!: Presumptive screening test only. Cross reactions and false-positive results may occur within each drug class. However, positive results are NOT routinely confirmed by a second method. If confirmation of the test result is required, it is the responsibility of the physician to separately order a specific confirmatory test for the drug(s) identified. False negative results can also occur in presence of low drug concentrations or drugs/metabolites that do not react in the assay [Click on the name of the drug(s) of interest from the list above for more information].

This test is NOT useful for the detection or monitoring of prescribed opiates such as codeine, or for therapeutic concentrations of hydromorphone or hydrocodone. (See cross reactivity information above).
 If hydrocodone or hydromorphone use is suspected, an opiate confirmation should be ordered from ARUP (test code: OPIQNT). False negative results may also occur as use of synthetic and some semi-synthetic opiates cannot be ruled out by this assay. Specifically, this assay will not detect use of meperidine or tramadol. If use of opiates not detected by this screen is suspected, immunoassay screens can be ordered from ARUP [e.g. meperidine (ARUP#2102288) or tramadol (ARUP#2012297)].

Typical Urine Detection Window after use:

Drug

Detection Time (hrs)

Max. Detection Time (days)

Amphetamine

24

9

Methamphetamine

87+/-51

6

Cannabis

34

95

Cocaine

48-72

22

Morphine

11-54

11

Barbiturates

24

1-4 (Phenobarbital)

Benzodiazepines

6

14 or longer in chronic users

Fentanyl 24-72 7
Methadone 24-72 14
Oxydodone 30-40 3



From: Verstraete AG. Detection Times of Drugs of Abuse in Blood, Urine and Oral Fluid. Ther Drug Monit, 26(2) April 2004, 200-205; Kale N.  Urine drug tests: ordering and interpreting results.  Am Fam Physician, 2019 99(1): 33-39.

Results cannot be used for Medico-legal purposes.

Confirmatory testing can be ordered for the specific class of agent found using the test order codes found under the 'Processing' tab of this test menu entry.


Confirmatory testing performed Monday-Friday with a 3-6 day turn around time after receipt by reference laboratory.

See also Drug Screening and individual drug entries.

Administrative

CPT Codes

80307
Complete View

Available Stat

Yes

Ordering Recommendations

The primary use of this immunoassay is to screen for use of common drugs when there is a suspicion that drug use may be contributing to the clinical picture (e.g. altered mental status, coma).

Due to extensive cross reactivity and the inability of this assay to detect commonly prescribed medications (e.g. hydrocodone) it is not useful for determine patient adherence to therapeutic regimens or potential drug diversion. For this purpose order specific drug tests (e.g. Opiates, urine, quantitative).

Test Code

DAU

Test Group

Drug screening

Performing Lab

Parnassus & Mission Bay Chemistry

Performed

Test available 24 hours per day 7 days per week

Methodology

Enzyme immunoassay method

Collect

Urine cup

Amount to Collect

See preferred volume

Sample Type

Random urine

Preferred Volume

10 mL urine

Minimum Volume

1.5 mL urine (insufficient for confirmation)

Specimen Preparation

Refrigerate. If requested freeze excess sample not used for this test for possible confirmatory testing at -20C  

Confirmatory testing can be ordered for the specific class of agent found using the following test order codes:  

 

Amphetamines

AMPQNT

ARUP #2010075

Barbiturates

BARQNT

ARUP #2012213

Benzodiazepines

BNZQNT

ARUP #2008291

Cocaine metabolite

COCQNT

ARUP# 0090359

Opiates

OPIQNT

ARUP #0090364

THC (Cannabinoids)

THCQNT

ARUP #0090369

Fentanyl FENQNT Quest #39393
Oxycodone OPIQNT ARUP #0090364
Methadone MEDQNT ARUP #0090362

Reference Interval

Negative (Note: a negative result indicates that the specific class of drugs is not present, or is present at a concentration below that of the cut off concentration. See each drug class for specific concentration cut-offs).

Synonyms

  • amphetamines
  • barbiturates
  • cocaine
  • opiates
  • benzodiazepines
  • THC
  • cannabinoids
  • cannibis
  • cocaine metabolites
  • benzoylecgonine
  • drug screen
  • drug test
  • cannabis
  • methadone
  • oxycodone
  • fentanyl
  • norfentanyl
  • fentanyl analogues

Stability (from collection to initiation)

Refrigerated 1 week, frozen 2 weeks

Reported

Stat 2 hours, Routine 4 hours

Additional Information

This test is NOT useful for the detection or monitoring of prescribed opiates such as codeine or therapeutic level of hydromorphone, or hydrocodone. See cross reactivity information below.

This test is not recommended for neonates where there is a question of maternal drug abuse as it is not as sensitive as the Quest drug screen panel in meconium (Quest #30427X: Neonatal Drug Screen, Meconium; required specimen: 5g of meconium).

This test panel screens for the presence of: Amphetamines, Barbiturates, Benzodiazepine, Cocaine (as benzoylecgonine), Cannabinoids, Fentanyl, Methadone, Oxycodone, and Opiates.

Each of the above panel components can be ordered separately.

This testing is performed using immunologic methods therefore these assays may cross-react with similar compounds. For a listing of the cross-reactivities see the test menu entry for the individual drug/metabolite.

Detection Cutoff Limits:

Drug/metabolite

Cutoff

Reported as

Amphetamines

<1000 µg/L

NEG

Barbiturates

<200 µg/L

NEG

Benzodiazepines

<200 µg/L

NEG

Cocaine metabolite

<300 µg/L

NEG

Opiates

<300 µg/L

NEG

Cannabinoids

<50 µg/L

NEG

Fentanyl <1 µg/L NEG
Methadone <300 µg/L NEG
Oxycodone <100 µg/L NEG


CAUTION!: Presumptive screening test only. Cross reactions and false-positive results may occur within each drug class. However, positive results are NOT routinely confirmed by a second method. If confirmation of the test result is required, it is the responsibility of the physician to separately order a specific confirmatory test for the drug(s) identified. False negative results can also occur in presence of low drug concentrations or drugs/metabolites that do not react in the assay [Click on the name of the drug(s) of interest from the list above for more information].

This test is NOT useful for the detection or monitoring of prescribed opiates such as codeine, or for therapeutic concentrations of hydromorphone or hydrocodone. (See cross reactivity information above).
 If hydrocodone or hydromorphone use is suspected, an opiate confirmation should be ordered from ARUP (test code: OPIQNT). False negative results may also occur as use of synthetic and some semi-synthetic opiates cannot be ruled out by this assay. Specifically, this assay will not detect use of meperidine or tramadol. If use of opiates not detected by this screen is suspected, immunoassay screens can be ordered from ARUP [e.g. meperidine (ARUP#2102288) or tramadol (ARUP#2012297)].

Typical Urine Detection Window after use:

Drug

Detection Time (hrs)

Max. Detection Time (days)

Amphetamine

24

9

Methamphetamine

87+/-51

6

Cannabis

34

95

Cocaine

48-72

22

Morphine

11-54

11

Barbiturates

24

1-4 (Phenobarbital)

Benzodiazepines

6

14 or longer in chronic users

Fentanyl 24-72 7
Methadone 24-72 14
Oxydodone 30-40 3



From: Verstraete AG. Detection Times of Drugs of Abuse in Blood, Urine and Oral Fluid. Ther Drug Monit, 26(2) April 2004, 200-205; Kale N.  Urine drug tests: ordering and interpreting results.  Am Fam Physician, 2019 99(1): 33-39.

Results cannot be used for Medico-legal purposes.

Confirmatory testing can be ordered for the specific class of agent found using the test order codes found under the 'Processing' tab of this test menu entry.


Confirmatory testing performed Monday-Friday with a 3-6 day turn around time after receipt by reference laboratory.

See also Drug Screening and individual drug entries.

CPT Codes

80307