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Epic Test Code LAB349 Drug Screen, Prescription/OTC, Serum

Additional Codes

MML Code: DSS

 

Reporting Name

Drug Screen, Prescription/OTC, S

Useful For

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 qualitatively identify drugs present in the specimen; quantification of identified drugs, when available, may be performed upon client request

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Serum Red


Specimen Required


Container/Tube: Red top

Specimen Volume: 2.75 mL

Additional Information:

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

2. This test is not appropriate for assessment of therapeutic compliance.

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

4. For chain-of-custody testing, order DSSX / Drug Screen, Prescription/OTC, Chain of Custody, Serum.


Bassett Healthcare Network Clinical Laboratories Note:

Blood Tube Draw Volume
Min 50% draw volume  

Specimen Minimum Volume

1.1 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum Red 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 are detected by this test are listed in Prescription and Over-the-Counter (OTC) Drug Screens in Special Instructions.

 

The pharmacology of each drug determines how the test should be interpreted. A detailed discussion of each drug is beyond the scope of this text. If you wish to have a report interpreted, call 800-533-1710 and ask for a toxicology consultant.

 

Each report will indicate the drugs detected.

Cautions

Not intended for therapeutic compliance testing.

 

Not intended for use in employment-related testing.

 

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

  For situations where chain of custody is required, order DSSX / Drug Screen, Prescription/OTC, Chain of Custody, Serum.

Analytic Time

3 days

Specimen Retention Time

2 weeks

Reject Due To

Hemolysis

Mild OK; Gross OK

Lipemia

Mild OK; Gross OK

Icterus

Mild OK; Gross OK

Other

Plasma or serum gel tube

NY State Approved

Yes

Method Name

Gas Chromatography-Mass Spectrometry (GC-MS)