Buprenorphine MAT1, Urine, Medication Assisted Treatment (MAT)

TEST: 701957
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CPT: 80307
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Special Instructions

This profile is designed for Suboxone™/buprenorphine medication assisted treatment. It is not intended for workplace testing and does not comply with state regulatory workplace testing programs.

Expected Turnaround Time

4 - 7 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Specimen Requirements

Specimen

Urine (random)

Volume

10 mL

Minimum Volume

3 mL

Container

Plastic urine container or transfer tube without preservative

Storage Instructions

Submission/Transport (<3 days): Room temperature. For storage beyond three days, specimen should be refrigerated or frozen.

Stability Requirements

Temperature

Period

Room temperature

14 days

Refrigerated

14 days

Frozen

6 weeks

Causes for Rejection

Insufficient volume; no ID on container; urine from preservative tube

Test Details

Use

This test is used to detect the presence of prescribed and illicit drugs for monitoring treatment of substance use disorder, including medication assisted treatment (MAT).

Methodology

Presumptive testing by immunoassay for buprenorphine at a testing threshold of 5 ng/mL; buprenorphine, norbuprenorphine, naloxone presumptive positives confirmed by definitive chromatography mass spectrometry (LC/MS-MS).

Initial presumptive testing by immunoassay at the following thresholds: alcohol biomarkers (EtG, EtS),500 ng/mL; amphetamines, 300 ng/mL; barbiturates, 200 ng/mL; benzodiazepines, 50 ng/mL; cocaine metabolite, 150 ng/mL; phencyclidine, 25 ng/mL; cannabinoids (THC), 20 ng/mL; heroin metabolite (6-AM), 10 ng/mL; opiates, 100 ng/mL; oxycodones, 100 ng/mL; tapentadol, 200 ng/mL; fentanyl, 2.0 ng/mL; methadone, 100 ng/mL; methadone mtb, 100 ng/mL; propoxyphene, 300 ng/mL; tramadol, 200 ng/mL; carisoprodol, 100 ng/mL; gabapentin, 1.0 ug/mL.

Definitive confirmation testing is not performed; contact laboratory if additional definitive testing is desired.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
701957 Buprenorphine MAT 1E, Ur 701249 BUPRENORPHINE IA ng/mL 3414-0
701957 Buprenorphine MAT 1E, Ur 701483 ETHANOL MTB IA Scr Only ng/mL 58375-7
701957 Buprenorphine MAT 1E, Ur 701464 AMPHETAMINES IA Scr Only ng/mL 19343-3
701957 Buprenorphine MAT 1E, Ur 701465 BARBITURATES IA Scr Only ng/mL 19270-8
701957 Buprenorphine MAT 1E, Ur 701467 BENZO CLASS IA Scr Only ng/mL 14316-4
701957 Buprenorphine MAT 1E, Ur 701468 COCAINE MTB IA Scr Only ng/mL 42241-0
701957 Buprenorphine MAT 1E, Ur 701469 PHENCYCLIDINE IA Scr Only ng/mL 19659-2
701957 Buprenorphine MAT 1E, Ur 701915 CANNABINOIDS IA Scr Only ng/mL Pending
701957 Buprenorphine MAT 1E, Ur 701471 6-AM (HEROIN) IA Scr Only ng/mL 19321-9
701957 Buprenorphine MAT 1E, Ur 701472 OPIATE CLASS IA Scr Only ng/mL 19295-5
701957 Buprenorphine MAT 1E, Ur 701473 OXYCODONE IA Scr Only ng/mL 19642-8
701957 Buprenorphine MAT 1E, Ur 701475 TAPENTADOL IA Scr Only ng/mL 72485-6
701957 Buprenorphine MAT 1E, Ur 701476 FENTANYL IA Scr Only ng/mL 59673-4
701957 Buprenorphine MAT 1E, Ur 701477 METHADONE IA Scr Only ng/mL 19550-3
701957 Buprenorphine MAT 1E, Ur 702491 METHADONE MTB IA Scr Only ng/mL 93495-0
701957 Buprenorphine MAT 1E, Ur 701478 PROPOXYPHENE IA Scr Only ng/mL 19429-0
701957 Buprenorphine MAT 1E, Ur 701479 TRAMADOL IA Scr Only ng/mL 19710-3
701957 Buprenorphine MAT 1E, Ur 701480 CARISOPRODOL IA Scr Only ng/mL 21142-5
701957 Buprenorphine MAT 1E, Ur 701481 GABAPENTINOIDS IA Scr Only ug/mL Pending
701957 Buprenorphine MAT 1E, Ur 701245 Creatinine mg/dL 19150-2
701957 Buprenorphine MAT 1E, Ur 701246 Urine pH 58400-3
701957 Buprenorphine MAT 1E, Ur 701328 Nitrites ug/mL 32710-6
Reflex Table for BUPRENORPHINE IA
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701889 Buprenorphine/Nalox,MS,Ur RFX 701204 Buprenorphine ng/mg creat 58360-9
Reflex Table for BUPRENORPHINE IA
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701889 Buprenorphine/Nalox,MS,Ur RFX 701205 Norbuprenorphine ng/mg creat 58361-7
Reflex Table for BUPRENORPHINE IA
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701889 Buprenorphine/Nalox,MS,Ur RFX 701206 N/B Ratio N/A
Reflex Table for BUPRENORPHINE IA
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 701889 Buprenorphine/Nalox,MS,Ur RFX 701207 Naloxone ng/mg creat 77207-9

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The LOINC® codes are copyright © 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC® codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. Additional information regarding LOINC® codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf