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For hours, walk-ins and appointments.Synthetic Opioids, Screen With Reflexed Confirmation, Urine
CPT:
80307
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.
Expected 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
Specimen Requirements
Specimen
Urine (random)
Volume
10 mL
Minimum Volume
1 mL
Container
Plastic urine container without preservative
Collection
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
Test Details
Use
Detect use of synthetic opioid drugs
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).
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 |
| 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 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 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 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 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 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 | Pending | |
| 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 | Pending | |
| 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 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 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 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 | Pending | |
| 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 | Pending | |
| 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 | Pending | |
| 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 | Pending | |
| 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 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 | Pending | |
| 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 | Pending | |
| 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 | Pending | |
| 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 | Pending | |
| 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 | Pending | |
| 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 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 | Pending | |
| 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 | Pending | |
| 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 | Pending | |
| 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 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 | Pending | |
| 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 | Pending | |
| 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 | Pending | |
| 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 | Pending | |
| 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 | Pending | |
| 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 | Pending | |
| 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 | Pending | |
| 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 | Pending | |
| 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 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 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 | Pending | |
| 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 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 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 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 | |
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