Buprenorphine, Urine, Quant Reflex
| Label Mnemonic: | BUPRURR |
| Epic code: | LAB8610 |
| Supply order: | Supply Order Form |
| Billing: | Billing Policies |
| CPT code: | 80348 |
Specimen(s):
Random Urine
Collection Medium:
) |
| Urine (Random)-BD Vacutainer®, no additive yellow top |
Minimum:
Preferred Minimum: 2 mL Random Urine
Absolute Minimum: 1 mL Random Urine
Absolute Minimum: 1 mL Random Urine
Turn Around
Time:
1-4 days upon receipt at reference laboratory.
Reference Range:
Drugs Covered Cutoff Concentrations Buprenorphine 2 ng/mL Norbuprenorphine 2 ng/mL Buprenorphine glucuronide 5 ng/mL Norbuprenorphine glucuronide 5 ng/mL Naloxone 100 ng/mL
Interpretive Data:
Positive cutoff:
Buprenorphine 2 ng/mL
Norbuprenorphine 2 ng/mL
Buprenorphine glucuronide 5 ng/mL
Norbuprenorphine glucuronide 5 ng/mL
Naloxone 100 ng/mL
For medical purposes only; not valid for forensic use.
The presence of metabolite(s) without parent drug is common and may indicate use of parent drug during the prior week. Naloxone is included to detect the addition of a naloxone-containing drug directly into the urine.
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, diluted/adulterated urine, or limitations of testing. The concentration value must be greater than or equal to the cutoff to be reported as positive. Interpretive questions should be directed to the laboratory.
Buprenorphine 2 ng/mL
Norbuprenorphine 2 ng/mL
Buprenorphine glucuronide 5 ng/mL
Norbuprenorphine glucuronide 5 ng/mL
Naloxone 100 ng/mL
For medical purposes only; not valid for forensic use.
The presence of metabolite(s) without parent drug is common and may indicate use of parent drug during the prior week. Naloxone is included to detect the addition of a naloxone-containing drug directly into the urine.
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, diluted/adulterated urine, or limitations of testing. The concentration value must be greater than or equal to the cutoff to be reported as positive. Interpretive questions should be directed to the laboratory.
Comments:
For general screening, Buprenorphine, Urine Screen (LAB8779) is
preferred.
Methodology:
Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Sample
Processing:
Submit urine in leak-proof plastic container.
Label transport tube with two patient identifiers, date and time of collection.
Label transport tube with two patient identifiers, date and time of collection.
Sample
Storage:
Refrigerate.
Transport
Instructions:
Place requisition into outside pocket of bag.
Place specimen into zip-lock type bag, seal bag.
Transport in cooler with refrigerated coolant packs.
Place specimen into zip-lock type bag, seal bag.
Transport in cooler with refrigerated coolant packs.
CPT Code:
80348
See also:
Buprenorphine Compliance Screen with Reflex, Random Urine
Buprenorphine, Urine Screen, Random Urine
Buprenorphine Compliance Screen with Reflex, Random Urine
Buprenorphine, Urine Screen, Random Urine