Nicotine and Cotinine Metabolite
| Order Code: | NICO |
| Epic Lab Code: | LAB3714 |
| Order Form: | A-1a Miscellaneous Request or Epic Req |
Commercial Mail-out Laboratory
6240 RCP
356-3527
6240 RCP
356-3527
Specimen:
Serum
Collection Medium:
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| Red top tube | Red top tube |
Alternate
Collection Media:
Lavender top tube 4 mL (EDTA), Green top tube 4 mL (Na Heparin), Pink top tube
Minimum:
Collect TWO full red top or lavender top tubes.
Recommended minimum: 4.0 mL serum or plasma
Absolute minimum: 2.0 mL serum or plasma
Rejection Criteria:
Specimens exposed to repeated freeze/thaw cycles. Serum separator
tubes and plasma/whole blood from light blue (sodium citrate).
Analytic Time:
4 days upon receipt at reference laboratory
Reference Range:
Unexposed non-tobacco user Passive exposure
Nicotine Less than 2 ng/mL Less than 2 ng/mL
Cotinine Less than 2 ng/mL Less than 8 ng/mL
3-OH-Cotinine Less than 2 ng/mL Less than 2 ng/mL
Abstinent user for more Active tobacco product use
than 2 weeks
Nicotine Less than 2 ng/mL 30 - 50 ng/mL
Cotinine Less than 2 ng/mL 200 - 800 ng/mL
3-OH-Cotinine Less than 2 ng/mL 100 - 500 ng/mL
Reference range source: Clinical Chemistry 48:9 1460-1471, 2002
Interpretive Data:
1. Drugs covered: nicotine, cotinine, 3-OH-cotinine.
2. Positive cutoff: 2 ng/mL
The absence of expected drug(s) and/or drug metabolite(s) may indicate
non-compliance, inappropriate timing of specimen collection relative to
drug administration, poor drug absorption, or limitations of testing.
The concentration value must be greater than or equal to the cutoff to
be reported as positive.
For medical purposes only; not valid for forensic use.
Comments:
No gel separator tubes.
Methodology:
Liquid Chromatography-Tandem Mass Spectrometry
CPT Code:
83887
