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Synthetic Opioids, Screen With Reflexed Confirmation, Urine

CPT 80307

Test Details

Methodology

Initial presumptive testing by liquid chromatography tandem mass spectrometry (LC/MS-MS); presumptive positives confirmed by definitive liquid chromatography tandem mass spectrometry (LC/MS-MS).

Result Turnaround Time

5 - 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.

Related Documents

Test Includes

Synthetic opioid analysis includes the following analytes: Fentanyl, Acetyl fentanyl, Norfentanyl, Acetyl Norfentanyl, Furanyl fentanyl, p-Fluorobutyrylfentanyl, Acrylfentanyl, Butyryl fentanyl, Carfentanil, 3-Methyl fentanyl, Valeryl fentanyl, Methoxyacetyl fentanyl, Cyclopropyl fentanyl, Tetrahydrofuran fentanyl, Phenylacetyl fentanyl, p-Fluoro cyclopropyl fentanyl, MT-45, Butyryl fentanyl carboxy metabolite, Isotonitazine, Metonitazene, Acetylfentanyl-4-methylphenethyl, Ocfentanil, p-Fluorofentanyl, 4-Methoxy-butyryl fentanyl, AH-7921, U-47700, AH-8533, AH-8529, IC-26, B-Hydroxythiofentanyl, Norcarfentanil, Xylazine, 4-Hydroxy xylazine, Methoxyacetyl Norfentanyl, Mitragynine, 7-OH-mitragynine.

Use

Detect use of synthetic opioid drugs

Specimen Requirements

Specimen

Urine (random)

Volume

10 mL

Minimum Volume

1 mL

Container

Plastic urine container without preservative

Collection Instructions

Collect urine in a plastic urine container without preservative.

Storage Instructions

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

Causes for Rejection

Urine in preservative container

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
703025 SYNTHETIC OPIOIDS,SCR w/CONF,U 703094 SYNTHETIC OPIOIDS GROUP A 12554-2
703025 SYNTHETIC OPIOIDS,SCR w/CONF,U 703095 SYNTHETIC OPIOIDS GROUP B 12554-2
703025 SYNTHETIC OPIOIDS,SCR w/CONF,U 703096 KRATOM 96058-3
Order Code703025
Order Code NameSYNTHETIC OPIOIDS,SCR w/CONF,U
Order Loinc
Result Code703094
Result Code NameSYNTHETIC OPIOIDS GROUP A
UofM
Result LOINC12554-2
Order Code703025
Order Code NameSYNTHETIC OPIOIDS,SCR w/CONF,U
Order Loinc
Result Code703095
Result Code NameSYNTHETIC OPIOIDS GROUP B
UofM
Result LOINC12554-2
Order Code703025
Order Code NameSYNTHETIC OPIOIDS,SCR w/CONF,U
Order Loinc
Result Code703096
Result Code NameKRATOM
UofM
Result LOINC96058-3
Reflex Table for SYNTHETIC OPIOIDS GROUP A
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703028 SYNTHETIC OPIOIDS CONFIRM A, U 703024 SYNTHETIC OPIOIDS GROUP A Pending
Reflex 1
Order Code703028
Order NameSYNTHETIC OPIOIDS CONFIRM A, U
Result Code703024
Result NameSYNTHETIC OPIOIDS GROUP A
UofM
Result LOINCPending
Reflex Table for SYNTHETIC OPIOIDS GROUP A
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703028 SYNTHETIC OPIOIDS CONFIRM A, U 703029 Fentanyl 40839-3
Reflex 1
Order Code703028
Order NameSYNTHETIC OPIOIDS CONFIRM A, U
Result Code703029
Result NameFentanyl
UofM
Result LOINC40839-3
Reflex Table for SYNTHETIC OPIOIDS GROUP A
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703028 SYNTHETIC OPIOIDS CONFIRM A, U 703030 Norfentanyl Pending
Reflex 1
Order Code703028
Order NameSYNTHETIC OPIOIDS CONFIRM A, U
Result Code703030
Result NameNorfentanyl
UofM
Result LOINCPending
Reflex Table for SYNTHETIC OPIOIDS GROUP A
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703028 SYNTHETIC OPIOIDS CONFIRM A, U 703031 Acetyl fentanyl 74810-3
Reflex 1
Order Code703028
Order NameSYNTHETIC OPIOIDS CONFIRM A, U
Result Code703031
Result NameAcetyl fentanyl
UofM
Result LOINC74810-3
Reflex Table for SYNTHETIC OPIOIDS GROUP A
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703028 SYNTHETIC OPIOIDS CONFIRM A, U 703032 Acetyl Norfentanyl Pending
Reflex 1
Order Code703028
Order NameSYNTHETIC OPIOIDS CONFIRM A, U
Result Code703032
Result NameAcetyl Norfentanyl
UofM
Result LOINCPending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703572 SYNTHETIC OPIOIDS GROUP B 12554-2
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703572
Result NameSYNTHETIC OPIOIDS GROUP B
UofM
Result LOINC12554-2
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703093 B-Hydroxythiofentanyl 105530-0
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703093
Result NameB-Hydroxythiofentanyl
UofM
Result LOINC105530-0
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703092 Acetylfent-4-methylphenethyl Pending
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703092
Result NameAcetylfent-4-methylphenethyl
UofM
Result LOINCPending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703091 Furanyl fentanyl 99081-2
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703091
Result NameFuranyl fentanyl
UofM
Result LOINC99081-2
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 704000 3-Methyl fentanyl Pending
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code704000
Result Name3-Methyl fentanyl
UofM
Result LOINCPending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703081 4-Methoxy-butyryl fentanyl 93461-2
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703081
Result Name4-Methoxy-butyryl fentanyl
UofM
Result LOINC93461-2
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703014 Methoxyacetyl fentanyl 105534-2
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703014
Result NameMethoxyacetyl fentanyl
UofM
Result LOINC105534-2
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703020 Methoxyacetyl norfentanyl 105534-2
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703020
Result NameMethoxyacetyl norfentanyl
UofM
Result LOINC105534-2
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703015 Cyclopropyl fentanyl 105539-1
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703015
Result NameCyclopropyl fentanyl
UofM
Result LOINC105539-1
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703017 Tetrahydrofuran fentanyl Pending
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703017
Result NameTetrahydrofuran fentanyl
UofM
Result LOINCPending
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703018 Phenylacetyl fentanyl 105536-7
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703018
Result NamePhenylacetyl fentanyl
UofM
Result LOINC105536-7
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703080 AH-7921 93460-4
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703080
Result NameAH-7921
UofM
Result LOINC93460-4
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703077 AH-8533 93458-8
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703077
Result NameAH-8533
UofM
Result LOINC93458-8
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703074 IC-26 93455-4
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703074
Result NameIC-26
UofM
Result LOINC93455-4
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703090 p-Fluorobutyrylfentanyl 93469-5
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703090
Result Namep-Fluorobutyrylfentanyl
UofM
Result LOINC93469-5
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703089 Acrylfentanyl 99079-6
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703089
Result NameAcrylfentanyl
UofM
Result LOINC99079-6
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703088 Butyryl fentanyl 105538-3
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703088
Result NameButyryl fentanyl
UofM
Result LOINC105538-3
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703019 Butyryl fentanyl carboxy mtb 105538-3
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703019
Result NameButyryl fentanyl carboxy mtb
UofM
Result LOINC105538-3
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 704001 Valeryl fentanyl 93466-1
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code704001
Result NameValeryl fentanyl
UofM
Result LOINC93466-1
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703099 p-Fluorofentanyl 101162-6
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703099
Result Namep-Fluorofentanyl
UofM
Result LOINC101162-6
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703098 Ocfentanil 93463-8
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703098
Result NameOcfentanil
UofM
Result LOINC93463-8
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703013 Carfentanil 104229-0
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703013
Result NameCarfentanil
UofM
Result LOINC104229-0
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703082 Norcarfentanil 93462-0
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703082
Result NameNorcarfentanil
UofM
Result LOINC93462-0
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703016 p-Fluoro cyclopropyl fentanyl 105539-1
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703016
Result Namep-Fluoro cyclopropyl fentanyl
UofM
Result LOINC105539-1
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703078 U-47700 93459-6
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703078
Result NameU-47700
UofM
Result LOINC93459-6
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703076 AH-8529 93457-0
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703076
Result NameAH-8529
UofM
Result LOINC93457-0
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703075 MT-45 93456-2
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703075
Result NameMT-45
UofM
Result LOINC93456-2
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703035 Isotonitazene 105703-3
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703035
Result NameIsotonitazene
UofM
Result LOINC105703-3
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703036 Metonitazene 101168-3
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703036
Result NameMetonitazene
UofM
Result LOINC101168-3
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703037 Xylazine 101809-2
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703037
Result NameXylazine
UofM
Result LOINC101809-2
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703038 4-Hydroxy xylazine 103639-1
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703038
Result Name4-Hydroxy xylazine
UofM
Result LOINC103639-1
Reflex Table for SYNTHETIC OPIOIDS GROUP B
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703026 SYNTHETIC OPIOIDS CONFIRM B, U 703073 COMMENT Pending
Reflex 1
Order Code703026
Order NameSYNTHETIC OPIOIDS CONFIRM B, U
Result Code703073
Result NameCOMMENT
UofM
Result LOINCPending
Reflex Table for KRATOM
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703027 KRATOM CONFIRMATION, U 703021 KRATOM 96058-3
Reflex 1
Order Code703027
Order NameKRATOM CONFIRMATION, U
Result Code703021
Result NameKRATOM
UofM
Result LOINC96058-3
Reflex Table for KRATOM
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703027 KRATOM CONFIRMATION, U 703022 Mitragynine 96058-3
Reflex 1
Order Code703027
Order NameKRATOM CONFIRMATION, U
Result Code703022
Result NameMitragynine
UofM
Result LOINC96058-3
Reflex Table for KRATOM
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 703027 KRATOM CONFIRMATION, U 703023 7-Hydroxymitragynine 75643-7
Reflex 1
Order Code703027
Order NameKRATOM CONFIRMATION, U
Result Code703023
Result Name7-Hydroxymitragynine
UofM
Result LOINC75643-7