Drug Monitoring, Panel 4, with Confirmation, Urine

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The following is a list of what is included in the item above. Click the test(s) below to view what biomarkers are measured along with an explanation of what the biomarker is measuring.

Alphahydroxymidazolam

Aminoclonazepam

Hydroxyethylflurazepam

Norhydrocodone

Noroxycodone

Alphahydroxyalprazolam

Alphahydroxytriazolam

Amobarbital

Amphetamine

Amphetamines

Barbiturates

Benzodiazepines

Benzoylecgonine

Butalbital

Cocaine Metabolite

Codeine

Creatinine

EDDP

Hydrocodone

Hydromorphone

Lorazepam

Medmatch Amphetamines

Methadone

Methadone

Methamphetamine

Morphine

Nordiazepam

Opiates

Oxazepam

Oxidant

Oxycodone

Oxycodone

Oxymorphone

Pentobarbital

Ph

Phencyclidine

Phencyclidine

Phenobarbital

Secobarbital

Specific Gravity

Temazepam

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The Drug Monitoring, Panel 4, with Confirmation, Urine test contains 1 test with 41 biomarkers.

Drug Monitoring, Panel 4, with Confirmation, Urine

Clinical Significance
Drug Monitoring, Panel 4, with Confirmation, Urine - The test is a screening assay using a homogeneous enzyme immunoassay method of analysis. Presumptive positive screen results are reflexed to a more specific and sensitive liquid chromatography mass spectroscopy (LC/MS/MS) test. Therapeutic urine drug monitoring is important for ensuring compliance to treatment strategies, as well as ensuring non-diversion for illicit purposes. Urine or oral fluid are the specimens of choice for routine monitoring of patients taking prescription drugs. Use of serum/plasma should be limited to anuretic patients, or where a patient's clinical appearance does not coincide with their prescribed medications. No single monitoring approach provides adequate information about the pattern or dose of patient drug use. Safest prescribing habits should include a combination of tools and laboratory test results to correctly detect drug use patterns. Urine drug test results equal to or greater than cutoff are reported as positive and results less than cutoff are reported as negative. Quantitative values cannot be used to assess the drug dose, because the drug is extensively metabolized and excreted in the urine.

Includes
If you require medMATCH for this order code, you must also order code 39158 - Prescribed Drugs, medMATCH®. If 39158 is ordered, all Drug Monitoring order codes will be treated as medMATCH.
 
If this test code is not ordered with 39158, all medMATCH result codes will be DNR’d.
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Initial screen of Amphetamines, Barbiturates, Benzodiazepines, Cocaine Metabolite, Methadone Metabolite, Opiates, Oxycodone, Phencyclidine drug classes. Specimen validity consisting of Creatinine, Oxidant, and pH testing.
If screen of drug class is positive, a confirmation of the drug class will be performed at an additional charge (CPT code(s): dependent upon the confirmed drug class).
Confirmation includes the following analytes within their associated drug class:
Amphetamines: Amphetamine, Methamphetamine
Barbiturates: Amobarbital, Butalbital, Pentobarbital, Phenobarbital, Secobarbital
Benzodiazepines: Alphahydroxyalprazolam, Alphahydroxymidazolam, Alphahydroxytriazolam, Aminoclonazepam, Hydroxyethylflurazepam, Lorazepam, Nordiazepam, Oxazepam, Temazepam
Cocaine Metabolite: Benzoylecgonine
Methadone Metabolite: EDDP, Methadone
Opiates: Codeine, Hydrocodone, Hydromorphone, Morphine, Norhydrocodone
Oxycodone: Noroxycodone, Oxycodone, Oxymorphone
Phencyclidine: Phencyclidine

Alternative Name(s)
Prescription Drug Monitoring,Pain Management

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