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Specimen Collection Manual and Test Catalog

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PRE-EMPLOYMENT DRUG SCREEN W/ CONFIRMATION

Geisinger Epic Procedure Code:  LAB3451    Geisinger Epic ID:  109406
Test Restriction:  For contracted clients only

SPECIMEN COLLECTION
Specimen type: 

Random urine


Preferred collection container: 
Specimen required: 

50 mL urine; minimum 20 mL. Consult with Toxicology Laboratory if specimen volume is less than minimum requirement.



SPECIMEN PROCESSING
Processing instructions: 

Must follow forensic processing protocol.


Transport temperature: 

Refrigerated (preferred) or room temperature.


Specimen stability: 

Room temperature: 2 days. Refrigerated: 14 days.


Rejection criteria: 

Stability limits exceeded. Deviation from chain of custody (consult with Toxicology Laboratory).



TEST DETAILS
Reference interval: 

Negative. 
 

Screen cutoff concentration:

Amphetamines500 ng/mL
Cannabinoids50 ng/mL
Cocaine metabolite150 ng/mL
Cotinine500 ng/mL
Hydrocodone/Hydromorphone300 ng/mL
Morphine/Codeine300 ng/mL
Oxycodone/Oxymorphone100 ng/mL
6-momacetylmorphine10 ng/mL

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: 

Amphetamines screen 
Cannabinoids screen 
Cocaine metabolite screen 
Heroin screen 
Hydrocodone screen 
Morphine/Codeine screen 
Oxycodone screen 
Cotinine screen
Specimen validity test 
Positive screening results are automatically confirmed at an additional charge.


Methodology: 
EMIT
KIMS
Synonyms: 

Forensic drugs of abuse test


Clinical significance: 

Used to detect the presence of various classes of drugs in human urine.


Doctoral Director(s): 
Hoi-Ying Elsie Yu, PhD, DABCC, FADLM
Sheng-Ying (Margaret) Lo, PhD, DABCC
Review Date:  12/17/2024

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