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HelpTest ID PDSOX Pain Clinic Drug Screen, Chain of Custody, Urine
Useful For
Detecting drug abuse involving amphetamines, barbiturates, benzodiazepines, cocaine, ethanol, methadone, opiates, phencyclidine, and tetrahydrocannabinol
Detection and identification of prescription or over-the-counter drugs frequently found in drug overdose or used with a suicidal intent
This test is intended to be used in a setting where the identification of the drug is required.
Chain of custody is required whenever the results of testing could be used in a court of law. Its purpose is to protect the rights of the individual contributing the specimen by demonstrating that it was under the control of personnel involved with testing the specimen at all times; this control implies that the opportunity for specimen tampering would be limited.
Profile Information
| Test ID | Reporting Name | Available Separately | Always Performed |
|---|---|---|---|
| CDA7X | Confirmed Drug Abuse Panel9, CoC, U | Yes | Yes |
| OXYSX | Oxycodone Screen, CoC, U | Yes | Yes |
| PDSUX | Drug Scrn, Prescription/OTC, CoC, U | Yes | Yes |
Additional Tests
| Test ID | Reporting Name | Available Separately | Always Performed |
|---|---|---|---|
| COCH | Chain of Custody Processing | No | Yes |
| ADLTX | Adulterants Survey, CoC, U | Yes | Yes |
Reflex Tests
| Test ID | Reporting Name | Available Separately | Always Performed |
|---|---|---|---|
| AMPHX | Amphetamines Confirmation, CoC, U | Yes | No |
| COKEX | Cocaine and metabolite Conf, CoC, U | Yes | No |
| BENZX | Benzodiazepines Conf, CoC, U | Yes | No |
| BARBX | Barbiturates Confirmation, CoC, U | Yes | No |
| MTDNX | Methadone Confirmation, CoC, U | Yes | No |
| PCPX | Phencyclidine Confirmation, CoC, U | Yes | No |
| THCX | Carboxy-THC Confirmation, CoC, U | Yes | No |
| ETOHX | Ethanol, CoC, U | No | No |
| OPATX | Opiate Confirmation, CoC, U | Yes | No |
| OXYCX | Oxycodone w/metabolite Conf, CoC, U | Yes | No |
Testing Algorithm
Testing begins with screening tests for alcohol and drugs of abuse. Positives are confirmed and quantitated by definitive methods (gas chromatography-flame ionization detector for ethanol; gas chromatography-mass spectrometry for barbiturates, benzodiazepines, cocaine and metabolites, methadone, phencyclidine, and tetrahydrocannabinol metabolite; liquid chromatography-tandem mass spectrometry for amphetamines and opiates) at an additional charge. If only oxycodone screens positive, only confirmation of oxycodone with metabolite will be performed. Any other opiate positive screen will result in the full opiate confirmation being performed.
The drug screen, prescription/OTC will be performed by gas chromatography-mass spectrometry. Qualitative results will be reported.
Adulterants testing will be performed on all chain of custody urine samples as per regulatory requirements.
Method Name
CDA7X, OXYSX: Alcohol Screened by an Enzymatic Assay/All Others Screened by Immunoassay
PDSUX: Gas Chromatography-Mass Spectrometry (GC-MS)
ETOHX: Gas Chromatography-Flame Ionization Detector (GC-FID) (if appropriate)
Reporting Name
Pain Clinic Drug Screen, CoC, USpecimen Type
UrineSpecimen Required
Supplies: Chain-of-Custody Kit (T282) containing the specimen containers, seals, and documentation required.
Specimen Volume: 30 mL
Collection Instructions: Collect specimen in the container provided, seal, and submit with the associated documentation to satisfy the legal requirements for chain-of-custody testing.
Additional Information:
1. Submitting less than 30 mL will compromise our ability to perform all necessary testing.
2. Not intended for use in employment-related testing.
Specimen Minimum Volume
25 mL
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Urine | Refrigerated (preferred) | 14 days |
| Frozen | 14 days | |
| Ambient | 72 hours |
Reference Values
Negative
Screening cutoff concentrations
Amphetamines: 500 ng/mL
Barbiturates: 200 ng/mL
Benzodiazepines: 100 ng/mL
Cocaine (benzoylecgonine-cocaine metabolite): 150 ng/mL
Ethanol: 10 mg/dL
Methadone metabolite: 300 ng/mL
Opiates: 300 ng/mL
Phencyclidine: 25 ng/mL
Tetrahydrocannabinol carboxylic acid: 50 ng/mL
This report is intended for use in clinical monitoring or management of patients. It is not intended for use in employment-related testing.
Day(s) and Time(s) Performed
Monday through Sunday
Performing Laboratory
Mayo Clinic Laboratories in Rochester
CPT Code Information
80307
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| PDSOX | Pain Clinic Drug Screen, CoC, U | In Process |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| 36262 | Alcohol | 42242-8 |
| 61727 | Oxycodone | 58430-0 |
| 36235 | Drugs detected: | 12286-1 |
| 36236 | Suspect Drug | In Process |
| 36027 | Chain of Custody | 77202-0 |
| 36253 | Amphetamines | 43983-6 |
| 36258 | Barbiturates | 70155-7 |
| 36237 | Chain of Custody | 77202-0 |
| 36259 | Benzodiazepines | 14316-4 |
| 36254 | Cocaine | 43984-4 |
| 36260 | Methadone metabolite | 41858-2 |
| 36255 | Opiates | 70151-6 |
| 36256 | Phencyclidine | 14310-7 |
| 36257 | Tetrahydrocannabinol | 14312-3 |
| 36261 | Chain of Custody | 77202-0 |
Forms
Chain-of-Custody Request is included in the Chain-of-Custody Kit (T282).