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Specimen Collection Manual and Test Catalog

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HEROIN, URINE SCREEN W/ CONFIRMATION

Geisinger Epic Procedure Code:  LAB2450    Geisinger Epic ID:  41924

SPECIMEN COLLECTION
Specimen type: 

Random urine


Preferred collection container: 
Specimen required: 

3 mL urine; minimum 1 mL.



SPECIMEN PROCESSING
Transport temperature: 

Refrigerated (preferred) or room temperature.


Specimen stability: 

Room temperature: 2 days. Refrigerated: 14 days


Rejection criteria: 

Stability limits exceeded.



TEST DETAILS
Reference interval: 

Negative. 
Screen cutoff concentration: 10 ng/mL.


Additional information: 

Screening results are presumptive and can only be used for medical purposes. Guide to drugs of abuse panels.


CPT code(s):  80307
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.
The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.

Test includes: 

Heroin screen. Positive screen results are automatically confirmed by LC-MS/MS at an additional charge.


Methodology: 
Enzyme Immunoassay (EIA)
Synonyms: 

6-MAM, heroin, 6-acetylmorphine, 6-monoacetylmorphine, heroin, HEROIN


Clinical significance: 

The presence of 6-acetylmorphine in the urine is regarded as a specific marker for the use of heroin. 6-acetylmorphine cannot be formed by acetylation of morphine in the body.


Doctoral Director(s): 
Hoi-Ying Elsie Yu, PhD, DABCC, FADLM
Sheng-Ying (Margaret) Lo, PhD, DABCC
Review Date:  12/16/2024

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