Label Mnemonic: OPIU
Epic Lab Code: LAB7385
Downtime Form: A-1a Doctor/Provider Orders - Pathology Core and Specialty Care Nursery
6240 RCP
Urine Screen
Collection Medium:
Clear top tube
Alternate Collection Media:
Urine (Random)-BD Vacutainer®, no additive yellow top
5 mL random urine
Rejection Criteria:
Test cannot be added to a urine sample previously utilized for urinalysis testing (LAB1160, LAB1164, LAB8379).
Testing Schedule:
24 hrs/day, 7 days a week, including holidays.
Turn Around Time:
1 hour (upon receipt in laboratory)
Reference Range:
Screen includes opiates only. For full drug of abuse-urine panel, see "Drugs of Abuse Screen". If confirmation is needed for opiates, call the Laboratory at 356- 3527. Allow up to seven days for confirmatory results. Confirmation is at an additional charge. Approximate cut-off concentrations (ng/mL) ----------------------------------------- Buprenorphine No cross-reactivity Codeine 224 6-Acetylmorphine (heroin metabolite) 386 Fentanyl No cross-reactivity Heroin 366 Hydrocodone 1,086 Hydromorphone 1,425 Meperidine > 100,000 Methadone No cross-reactivity Morphine 300 Oxycodone* > 75,000 *Therapeutic use of oxycodone in the absence of any other opiates is unlikely to result in a positive opiates screen. References: Belson MG, Simon HK, Sullivan K, Geller RJ. The Utility of Toxicologic Analysis in Children with Suspected Ingestion. Pediatr Emerg Care 1999;15:383-387. Bast RP, Helmer SD, Henderson SR, Rogers MA, Shapiro WM, Smith RS. Limited Utility of Routine Drug Screening in Trauma Patients. South Med J 2000;93:397-399. Hammett-Stabler CA, Pesce AJ, Cannon DJ. Urine Drug Screening in the Medical Setting. Clinica Chimica Acta 2002;315:125-135. Schiller MJ, Shumway M, Batki SL. Utility of Routine Drug Screening in a Psychiatric Emergency Setting. Psychiatric Services 2000;51:474- 478. Sugarman JM, Rodgers GC, Paul RI. Utility of Toxicology Screening in a Pediatric Emergency Department. Pediatric Emergency Care. Pediatric Emergency Care 1997;13(3):194-197.
Test Limitations:
There is the possibility that other substances and/or factors may interfere with the test and cause erroneous results (e.g., technical or procedural errors). Call the lab at 319-356-3527 for additional information.
Assay is based on the kinetic interaction of microparticles in a solution (KIMS) as measured by changes in light transmission.
CPT Code:
See also:
Drugs of Abuse, Urine
Drugs of Abuse, Urine + Confirm