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Pain Management Profile 1 with Confirmation, Urine

Test Code

16856

CPT Code(s)

80101 (x10), 84311, 82570, 83986

Includes

Creatinine, Oxidant, pH, Amphetamines, Barbiturates, Benzodiazepines, Marijuana Metabolite, Cocaine Metabolite, Methadone, Opiates, Oxycodone, Phencyclidine, Propoxyphene

Quantitative confirmation of positives will be performed at an additional charge (CPT code(s): 82145 and/or 82205 and/or 82542 and/or 82520 and/or 83840 and /or 83925 and/or 83992).

Preferred Specimen(s)

30 mL urine

Minimum Volume

7 mL

Alternative Specimen(s)

Urine collected in urine collection container

Specimen Container

Clinical drug test transport vial

Transport Temperature

Room temperature

Specimen Stability

Room Temperature: 5 days
Refrigerated: 7 days
Frozen: 30 days

Reject Criteria

Preserved samples

Methodology

Screen: Immunoassay (IA) • Confirmation: Mass Spectrometry (MS)

Performing Laboratory

Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153

Setup Schedule

Set up: Daily evening; Report available: 3 days

Reference Range(s)

Creatinine ≥20.0  mg/dL 
Specific Gravity ≥1.003  
pH 4.5-9.0  
Oxidant <200 mcg/mL 
Amphetamines  <500 ng/mL 
   Amphetamine <250 ng/mL
   Methamphetamine <250 ng/mL
Barbiturates <300 ng/mL
   Amobarbital <100 ng/mL
   Butalbital <100 ng/mL
   Pentobarbital <100 ng/mL
   Phenobarbital <100 ng/mL
   Secobarbital <100 ng/mL
Benzodiazepines <100  ng/mL
   Alphahydroxyalprazolam <50 ng/mL
   Alphahydroxytriazolam <50 ng/mL
   Lorazepam <50 ng/mL
   Midazolam <50 ng/mL
   Nordiazepam <50 ng/mL
   Oxazepam <50 ng/mL
   Temazepam <50 ng/mL
Marijuana Metabolite <20 ng/mL
   Marijuana Metabolite <5 ng/mL
Cocaine Metabolite <150 ng/mL
   Benzoylecgonine <100 ng/mL
Methadone <150 ng/mL
   EDDP <100 ng/mL
   Methadone <100 ng/mL
Opiates <100 ng/mL
   Codeine <50 ng/mL
   Morphine <50 ng/mL
   Hydrocodone <50 ng/mL
   Hydromorphone <50 ng/mL
Oxycodone <100 ng/mL
   Oxycodone <50 ng/mL
   Oxymorphone <50 ng/mL
Phencyclidine <25 ng/mL
   Phencyclidine <25 ng/mL
Propoxyphene <300 ng/mL
   Norpropoxyphene <200 ng/mL
medMATCH comments are present only when drug test results may be the result of metabolism of one or more drugs or when results are inconsistent with prescribed medication(s) listed.

Clinical Significance

The management of patients use of controlled substances is an increasing focus of law enforcement to ensure that prescribed medications arent diverted, and is critical to the successful outcome of many pharmaco-therapies. Urine drug testing for the presence or absence of prescribed medications and illicit drugs is a strategy designed to help the treating physician monitor his/her patients for compliance with that physicians directive(s).

LOINC®' Code(s)

The Result and LOINC information listed below should not be used for electronic interface maintenance with Quest Diagnostics. Please contact the Quest Diagnostics Connectivity Help Desk for more information at 800-697-9302.

NOTE: The codes listed in the table below are not orderable Test Codes.

Result
Code
Result NameLOINC CodeComponent Name
82000000Amphetamines3349-8Amphetamines
82000001medMatch AmphetaminesPending assignment
82000010Amphetamine19346-6Amphetamine
82000011medMATCH AmphetaminePending assignment
82000020Methamphetamine3780-4Methamphetamine
82000021medMATCH MethamphetaminePending assignment
82000030Barbiturates3377-9Barbiturates
82000031medMATCH BarbituratesPending assignment
82000040Amobarbital11230-0Amobarbital
82000041medMATCH AmobarbitalPending assignment
82000050Butalbital11071-8Butalbital
82000051medMATCH ButalbitalPending assignment
82000060Pentobarbital3926-3Pentobarbital
82000061medMATCH PentobarbitalPending assignment
82000070Phenobarbital3950-3Phenobarbital
82000071medMATCH PhenobarbitalPending assignment
82000080Secobarbital19695-6Secobarbital
82000081medMATCH SecobarbitalPending assignment
82000090Benzodiazepines3390-2Benzodiazepines
82000091medMATCH BenzodiazepinesPending assignment
82000100Nordiazepam15372-6Nordiazepam
82000101medMATCH NordiazepamPending assignment
82000110Oxazepam3887-7Oxazepam
82000111medMATCH OxazepamPending assignment
82000120Lorazepam3725-9Lorazepam
82000121medMATCH LorazepamPending assignment
82000130Alphahydroxyalprazolam19328-4Alpha hydroxyalprazolam
82000131medMATCH aOH alprazolamPending assignment
82000140Midazolam19588-3Midazolam
82000141medMATCH MidazolamPending assignment
82000150Alphahydroxytriazolam60677-2Alpha hydroxytriazolam
82000151medMATCH aOH triazolamPending assignment
82000158Temazepam12382-8Temazepam
82000159medMatch TemazepamPending assignment
82000160Marijuana Metabolite3426-4Tetrahydrocannabinol
82000161medMATCH Marijuana MetabPending assignment
82000170Marijuana Metabolite3530-3Tetrahydrocannabinol
82000171medMATCH Marijuana MetabPending assignment
82000180Cocaine Metabolite3393-6Benzoylecgonine
82000181medMATCH Cocaine MetabPending assignment
82000190Benzoylecgonine3394-4Benzoylecgonine
82000191medMATCH BenzoylecgoninePending assignment
82000200Methadone3773-9Methadone
82000201medMATCH Methadone MetabPending assignment
82000210EDDP50542-02-Ethylidene-1,5-Dimethyl-3,3-Diphenylpyrrolidine
82000211medMATCH EDDPPending assignment
82000220Methadone3774-7Methadone
82000221medMATCH MethadonePending assignment
82000230Opiates3879-4Opiates
82000231medMATCH OpiatesPending assignment
82000240Codeine3508-9Codeine
82000241medMATCH CodeinePending assignment
82000250Morphine3831-5Morphine
82000251medMATCH MorphinePending assignment
82000260Hydrocodone3681-4Hydrocodone
82000261medMATCH HydrocodonePending assignment
82000270Hydromorphone9835-0Hydromorphone
82000271medMATCH HydromorphonePending assignment
82000280Oxycodone10998-3Oxycodone
82000281medMATCH OxycodonePending assignment
82000290Oxycodone11246-6Oxycodone
82000291medMATCH OxycodonePending assignment
82000300Oxymorphone19648-5Oxymorphone
82000301medMATCH OxymorphonePending assignment
82000310Phencyclidine3936-2Phencyclidine
82000311medMATCH PhencyclidinePending assignment
82000320Phencyclidine3937-0Phencyclidine
82000321medMATCH PhencyclidinePending assignment
82000330Propoxyphene19141-1Propoxyphene
82000331medMATCH PropoxyphenePending assignment
82000340Norpropoxyphene19635-2Norpropoxyphene
82000341medMATCH NorpropoxyphenePending assignment
82090100Prescribed Drug 129305-0Medication prescribed
82090110Prescribed Drug 229305-0Medication prescribed
82090120Prescribed Drug 329305-0Medication prescribed
82090130Prescribed Drug 429305-0Medication prescribed
82090140Prescribed Drug 529305-0Medication prescribed
84002710Specific Gravity2965-2Specific gravity
84002720pH2756-5pH
84002730Creatinine2161-8Creatinine
84002740Oxidant58714-7Oxidants

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

LOINC assignment is based on a combination of test attributes, including the method used by the performing laboratory. For tests not performed by Quest Diagnostics, codes are assigned by the performing laboratory.

* The tests listed by specialist are a select group of tests offered. For a complete list of Quest Diagnostics tests, please refer to our Directory of Services.