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Epic Test Code LAB21064 Drug Screen, Prescription/OTC, Urine

Additional Codes

MML Code: PDSU

 

Reporting Name

Drug Screen, Prescription/OTC, U

Useful For

The qualitative detection and identification of prescription or over-the-counter drugs frequently found in drug overdose or used with a suicidal intent

 

This test is designed to provide, when possible, the identification of all drugs present.

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Urine


Specimen Required


Supplies: Plastic, 60-mL urine bottle (T313)

Container/Tube: Plastic, 60-mL urine bottle

Specimen Volume: 30 mL

Collection Instructions:

1. Collect a random urine specimen.

2. No preservative.

Additional Information:

1. See Prescription and Over-the-Counter (OTC) Drug Screens in Special Instructions.

2. For chain-of-custody testing, order PDSUX /  Drug Screen, Prescription/OTC, Chain of Custody, Urine. For situations where chain of custody is required, a Chain-of-Custody Kit (T282) is available.

3. Not intended for use in employment-related testing.

4. Submitting less than 30 mL will compromise our ability to perform all necessary testing.


Specimen Minimum Volume

1.1 mL

Specimen Stability Information

Specimen Type Temperature Time
Urine Refrigerated (preferred) 14 days
  Frozen  14 days
  Ambient  3 hours

Reference Values

Drugs detected are presumptive. Additional testing may be required to confirm the presence of any drugs detected.

Day(s) and Time(s) Performed

Monday through Sunday; Varies

CPT Code Information

80307

Clinical Information

This test looks for a broad spectrum of prescription and over-the-counter (OTC) drugs. It is designed to detect drugs that have toxic effects, as well as known antidotes or active therapies that a clinician can initiate to treat the toxic effect. The test is intended to help physicians manage an apparent overdose or intoxicated patient, or to determine if a specific set of symptoms might be due to the presence of drugs. This test is not appropriate for drugs of abuse or illicit drug testing, including benzodiazepines, opioids, barbiturates, cocaine, amphetamine type stimulants.

 

Drugs of toxic significance that are not detected by this test are: digoxin, lithium, and many drugs of abuse or illicit drugs, some benzodiazepines, and some opioids.

 

See Prescription and Over-the-Counter (OTC) Drug Screens in Special Instructions for detection limits for drugs detected in this test.

Interpretation

The drugs that can be detected by this test are listed in Prescription and Over-the-Counter (OTC) Drug Screens in Special Instructions.

 

Drugs of toxic significance that are not detected by this test include digoxin, lithium, many drugs of abuse/illicit drugs, some benzodiazepines, and some opiates. For these drugs, see Mayo Clinic Laboratories' drug abuse surveys or drug screens or individual tests.

 

A detailed discussion of each drug detected is beyond the scope of this text. Each report will indicate the drugs identified. If a clinical interpretation is required, request a Drug/Toxicology Lab consult (Mayo Clinic patients) or contact Mayo Laboratory Inquiry (Mayo Clinic Laboratories clients).

Cautions

Not intended for use in employment-related testing.

 

Not intended for therapeutic compliance testing.

 

This test is not appropriate for drugs of abuse or illicit drug testing, including benzodiazepines, opioids, barbiturates, cocaine, amphetamine type stimulants.

Analytic Time

3 days

Specimen Retention Time

2 weeks

Reject Due To

Hemolysis

NA

Lipemia

NA

Icterus

NA

Other

NA

NY State Approved

Yes

Method Name

Gas Chromatography-Mass Spectrometry (GC-MS)