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Test Code PCDSO Pain Clinic Drug Screen, Urine

Additional Codes

Mayo Code
PDCSO
EPIC Code
LAB3521
Sunquest Code
PCDSO

 

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.

Profile Information

Test ID Reporting Name Available Separately Always Performed
CDAU7 Confirmed Drug Abuse Panel 9, U Yes Yes
OXYSU Oxycodone Screen, U Yes Yes
PDSU Drug Screen, Prescription/OTC, U Yes Yes

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
AMPHU Amphetamines Confirmation, U Yes No
COKEU Cocaine and metabolite Conf, U Yes No
BARBU Barbiturates Confirmation, U Yes No
MTDNU Methadone Confirmation, U Yes No
PCPU Phencyclidine Confirmation, U Yes No
THCU Carboxy-THC Confirmation, U Yes No
ETOH Ethanol, U No No
OPATU Opiate Confirmation, U Yes No
OXYCU Oxycodone w/metabolite Conf, U Yes No
BNZU Benzodiazepines Confirmation, 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 w/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.

Reporting Name

Pain Clinic Drug Screen, U

Specimen Type

Urine


Specimen Required


Collection Container/Tube: Plastic urine container

Submission Container/Tube: Plastic, 60-mL urine bottle

Specimen Volume: 30 mL

Collection Instructions:

1. Collect a random urine specimen.

2. Submit 30 mL in 1 plastic bottle.

3. No preservative.

Additional Information:

1. No specimen substitutions.

2. No STATS are accepted for this procedure.

3. For situations where chain of custody is required, a Chain-of-Custody Kit (T282) is available. For chain-of-custody testing, order PDSOX / Pain Clinic Drug Screen, Chain of Custody, Urine.

4. Additional drug panels and specific requests are available. Call 800-533-1710 or 507-266-5700.

5. If urine creatinine is required or adulteration of the sample is suspected, the following test should be requested, ADULT / Adulterants Survey, Urine. For additional information, please refer to ADULT / Adulterants Survey, Urine.

6. Submitting less than 30 mL will compromise our ability to perform all necessary testing.


Specimen Minimum Volume

25 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Urine Refrigerated (preferred) 7 days
  Frozen  14 days

Reject Due To

All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.

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 Saturday

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

80307

LOINC Code Information

Test ID Test Order Name Order LOINC Value
PCDSO Pain Clinic Drug Screen, U In Process

 

Result ID Test Result Name Result LOINC Value
30909 Alcohol 34180-0
31260 Drugs detected: 12286-1
62623 Oxycodone 19642-8
45529 Suspect Drug No LOINC Needed
2573 Amphetamines 16369-1
2574 Barbiturates 70155-7
31262 Chain of Custody 77202-0
2575 Benzodiazepines 16195-0
21652 Cocaine 19360-7
4435 Methadone metabolite 16246-1
2577 Opiates 18390-5
2578 Phencyclidine 18392-1
2664 Tetrahydrocannabinol 19416-7
20672 Chain of Custody 77202-0

Method Name

CDAU7, OXYSU: Alcohol Screened by an Enzymatic Assay/All Others Screened by Immunoassay

PDSU: Gas Chromatography-Mass Spectrometry (GC-MS)

ETOH: Gas Chromatography-Flame Ionization Detector (GC-FID) (if appropriate)

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.