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Drugs of Abuse Screen, Meconium 4

Additional Codes

Orderable Codes:

Epic Code Atlas Code Mayo Test ID Order LOINC
LAB479 MECON4 DASM4 49046-6

Result Component(s):

Reporting Name Epic Code Atlas Code Mayo Test ID Result LOINC
Amphetamine     32078 26895-3
Methamphetamine     32080 27289-8
Cocaine     32082 26956-3
Opiate     32084 29158-3
Tetrahydrocannabinol     32086 26893-8
Chain of Custody     32087 77202-0

 

Reporting Name

Drugs of Abuse Screen, Meconium 4

Useful For

Identifying amphetamines (and methamphetamines), opiates, as well as metabolites of cocaine and marijuana in meconium specimens

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
AMPHM Amphetamines, Confirmation, M Yes No
COKEM Cocaine and Metabolites, Confirm, M Yes No
OPATM Opiate Confirmation, M Yes No
THCM Carboxy-THC Confirmation, M Yes No

Testing Algorithm

Testing begins with immunoassay screen. Positive results are confirmed and quantified by liquid chromatography tandem mass spectrometry at an additional charge.

Method Name

Competitive Chemiluminescent Immunoassay (CIA)

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Meconium


Ordering Guidance


For chain-of-custody testing, order DSM4X / Drugs of Abuse Screen 4, Chain of Custody, Meconium.



Specimen Required


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

Container/Tube: Stool container

Specimen Volume: 1 g (approximately 1 teaspoon)

Collection Instructions: Collect entire random meconium specimen.


Specimen Minimum Volume

0.45 g (approximately 0.5 teaspoon)

Specimen Stability Information

Specimen Type Temperature Time Special Container
Meconium Frozen (preferred) 21 days
  Refrigerated  21 days
  Ambient  72 hours

Reject Due To

Grossly bloody Reject, Pink OK
Stool
Diapers		 Reject

Reference Values

Negative

 

Positives are reported with a quantitative liquid chromatography tandem mass spectrometry result.

 

Cutoff concentrations by competitive chemiluminescent immunoassay:

Amphetamines: 100 ng/g

Methamphetamine: 100 ng/g

Benzoylecgonine (cocaine metabolite): 100 ng/g

Opiates: 100 ng/g

Tetrahydrocannabinol carboxylic acid (marijuana metabolite): 20 ng/g

Day(s) Performed

Monday through Saturday

CPT Code Information

80307

80324 (if appropriate)

80359 (if appropriate)

80353 (if appropriate)

80361 (if appropriate)

80365 (if appropriate)

80349 (if appropriate)

LOINC Code Information

Test ID Test Order Name Order LOINC Value
DASM4 Drugs of Abuse Screen, Meconium 4 49046-6

 

Result ID Test Result Name Result LOINC Value
32078 Amphetamine 26895-3
32080 Methamphetamine 27289-8
32082 Cocaine 26956-3
32084 Opiate 29158-3
32086 Tetrahydrocannabinol 26893-8
32087 Chain of Custody 77202-0

Test Classification

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

Report Available

1 to 2 days

Specimen Retention Time

14 days

NY State Approved

Yes

Forms

If not ordering electronically, complete, print, and send a Therapeutics Test Request (T831) with the specimen.