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Test ID OPATM Opiate Confirmation, Meconium

Useful For

Detection of maternal prenatal opiate/opioid use up to 5 months before birth

Method Name

Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)

Reporting Name

Opiate Confirmation, M

Specimen Type

Meconium


Advisory Information


For chain-of-custody testing, order OPTMX / Opiate Confirmation, Chain of Custody, Meconium.



Specimen Required


Supplies: Stool container. Small (Random), 4 oz (T288)

Container/Tube: Stool container (T288)

Specimen Volume: 1 g (approximately 1 teaspoon)

Collection Instructions: Collect entire random meconium specimen.


Specimen Minimum Volume

0.3 g (approximately 1/4 teaspoon)

Specimen Stability Information

Specimen Type Temperature Time
Meconium Frozen (preferred) 28 days
  Refrigerated  28 days
  Ambient  14 days

Reference Values

Negative

Positives are reported with a quantitative LC-MS/MS result.

Cutoff concentrations

Codeine by LC-MS/MS: 50 ng/g

Hydrocodone by LC-MS/MS: 50 ng/g

Hydromorphone by LC-MS/MS: 50 ng/g

Morphine by LC-MS/MS: 50 ng/g

Oxycodone by LC-MS/MS: 50 ng/g

Oxymorphone by LC-MS/MS: 50 ng/g

Day(s) and Time(s) Performed

Monday through Friday, Sunday; Varies

Performing Laboratory

Mayo Medical Laboratories in Rochester

CPT Code Information

80361

80365

G0480 (if appropriate)

LOINC Code Information

Test ID Test Order Name Order LOINC Value
OPATM Opiate Confirmation, M 69026-3

 

Result ID Test Result Name Result LOINC Value
31848 Morphine 69027-1
31850 Oxymorphone 69028-9
31849 Hydromorphone 68541-2
31847 Codeine 68542-0
31852 Oxycodone 68543-8
31851 Hydrocodone 68544-6
31868 Interpretation 69050-3
31869 Chain of Custody No LOINC Needed

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.