Medtox
Drug Screen 13 with Reflex Confirmation (ETG,AMP,BAR,BZO,COC,PCP,THC,OPI,OXY,MD,BUP,TRAM,FENT), Meconium
CPT:
80307
Synonyms
Meconium 13 Panel; Drug Screen 13 w/Conf,Meconium
Test Includes
Alcohol Biomarkers (ETG/ETS); Amphetamines; Barbiturates; Benzodiazepines; Cocaine metabolite; Fentanyl; Phencyclidine (PCP); Cannabinoids (THC metabolite); Opiates; Oxycodone; Methadone; Buprenorphine; Tramadol
Expected Turnaround Time
3 - 6 days
Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.
Related Information
In-house validated method
Specimen Requirements
Specimen
Meconium
Volume
5 gm
Minimum Volume
1 gm
Container
Preferred: Meconium Collection Kit (PeopleSoft N° 96663); or Alternative: Clean, leakproof polypropylene container.
Collection
Specimens from different voidings may be pooled if necessary. For step-by-step instructions for collecting and preparing meconium specimens, download the Meconium Testing Collection Instructions.
Storage Instructions
Submission/transport (<3 days): Room temperature. For storage beyond three days, specimen should be refrigerated or frozen.
Test Details
Use
Detect fetal exposure to controlled substances
Methodology
Initial presumptive testing by immunoassay at the following testing thresholds: Alcohol Biomarkers (ETG/ETS), 100 ng/gm; Amphetamines, 100 ng/gm; Barbiturates, 100 ng/gm; Benzodiazepines, 100 ng/gm; Buprenorphine, 5 ng/gm; Cocaine and metabolites, 50 ng/gm; Fentanyl and metabolite, 2 ng/gm; Methadone, 50 ng/gm; Opiates, 50 ng/gm; Oxycodones, 50 ng/gm; Phencyclidine (PCP), 25 ng/gm; Tetrahydrocannabinol (THC) metabolite, 25 ng/gm; Tramadol, 50 ng/gm; Presumptive positives confirmed by definitive liquid chromatography/tandem mass spectrometry (LC/MS-MS)
LOINC® Map
| Order Code | Order Code Name | Order Loinc | Result Code | Result Code Name | UofM | Result LOINC |
|---|---|---|---|---|---|---|
| 809509 | Drug Screen 13 w/Conf,Meconium | 791887 | Alcohol Biomarkers | 15402-1 | ||
| 809509 | Drug Screen 13 w/Conf,Meconium | 809240 | Amphetamines | 8146-3 | ||
| 809509 | Drug Screen 13 w/Conf,Meconium | 809241 | Barbiturates | 34578-5 | ||
| 809509 | Drug Screen 13 w/Conf,Meconium | 809242 | Benzodiazepines | 31081-3 | ||
| 809509 | Drug Screen 13 w/Conf,Meconium | 809243 | Cocaine Metabolite | 8189-3 | ||
| 809509 | Drug Screen 13 w/Conf,Meconium | 809246 | Phencyclidine | 8234-7 | ||
| 809509 | Drug Screen 13 w/Conf,Meconium | 809247 | Cannabinoids | 31080-5 | ||
| 809509 | Drug Screen 13 w/Conf,Meconium | 809245 | Opiates | 8216-4 | ||
| 809509 | Drug Screen 13 w/Conf,Meconium | 803800 | Oxycodone | 73996-1 | ||
| 809509 | Drug Screen 13 w/Conf,Meconium | 809248 | Methadone | 43595-8 | ||
| 809509 | Drug Screen 13 w/Conf,Meconium | 791469 | Buprenorphine | 77205-3 | ||
| 809509 | Drug Screen 13 w/Conf,Meconium | 791890 | Tramadol | 93719-3 | ||
| 809509 | Drug Screen 13 w/Conf,Meconium | 817068 | Fentanyl | 61042-8 |
| Reflex Table for Alcohol Biomarkers | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 701784 | Meconium ETG/ETS Confirmation | 701774 | Ethylglucuronide (ETG) | ng/gm | 94399-3 |
| Reflex Table for Alcohol Biomarkers | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 701784 | Meconium ETG/ETS Confirmation | 701775 | Ethylsulfate (ETS) | ng/gm | 94398-5 |
| Reflex Table for Amphetamines | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809250 | Meconium Amphetamine Confirm. | 809287 | Methamphetamine | ng/gm | 69022-2 |
| Reflex Table for Amphetamines | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809250 | Meconium Amphetamine Confirm. | 809252 | Amphetamine | ng/gm | 26959-7 |
| Reflex Table for Barbiturates | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809254 | Meconium Barbiturate Confirm. | 809083 | Amobarbital | ng/gm | 27324-3 |
| Reflex Table for Barbiturates | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809254 | Meconium Barbiturate Confirm. | 809084 | Pentobarbital | ng/gm | 27308-6 |
| Reflex Table for Barbiturates | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809254 | Meconium Barbiturate Confirm. | 809085 | Secobarbital | ng/gm | 27002-5 |
| Reflex Table for Barbiturates | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809254 | Meconium Barbiturate Confirm. | 809086 | Butalbital | ng/gm | 27962-0 |
| Reflex Table for Barbiturates | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809254 | Meconium Barbiturate Confirm. | 809191 | Butabarbital | ng/gm | 27061-1 |
| Reflex Table for Barbiturates | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809254 | Meconium Barbiturate Confirm. | 809255 | Phenobarbital | ng/gm | 27235-1 |
| Reflex Table for Benzodiazepines | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 791450 | Meconium Benzodiazepine Conf. | 791447 | Diazepam | ng/gm | 59658-5 |
| Reflex Table for Benzodiazepines | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 791450 | Meconium Benzodiazepine Conf. | 791448 | Desmethyldiazepam | ng/gm | 59720-3 |
| Reflex Table for Benzodiazepines | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 791450 | Meconium Benzodiazepine Conf. | 791449 | Oxazepam | ng/gm | 59729-4 |
| Reflex Table for Benzodiazepines | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 791450 | Meconium Benzodiazepine Conf. | 791445 | Temazepam | ng/gm | 59749-2 |
| Reflex Table for Benzodiazepines | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 791450 | Meconium Benzodiazepine Conf. | 791451 | Alprazolam | ng/gm | 59610-6 |
| Reflex Table for Benzodiazepines | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 791450 | Meconium Benzodiazepine Conf. | 791452 | Alpha-hydroxyalprazolam | ng/gm | 59603-1 |
| Reflex Table for Benzodiazepines | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 791450 | Meconium Benzodiazepine Conf. | 791453 | Desalkylflurazepam | ng/gm | 59650-2 |
| Reflex Table for Benzodiazepines | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 791450 | Meconium Benzodiazepine Conf. | 791454 | Lorazepam | ng/gm | 26934-0 |
| Reflex Table for Benzodiazepines | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 791450 | Meconium Benzodiazepine Conf. | 791455 | Alpha-Hydroxytriazolam | ng/gm | 73564-7 |
| Reflex Table for Benzodiazepines | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 791450 | Meconium Benzodiazepine Conf. | 791456 | Clonazepam | ng/gm | 76349-0 |
| Reflex Table for Benzodiazepines | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 791450 | Meconium Benzodiazepine Conf. | 791457 | Midazolam | ng/gm | 27302-9 |
| Reflex Table for Cocaine Metabolite | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 738839 | Meconium Cocaine Confirmation | 809290 | Cocaine | ng/gm | 69009-9 |
| Reflex Table for Cocaine Metabolite | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 738839 | Meconium Cocaine Confirmation | 809260 | Benzoylecgonine | ng/gm | 69010-7 |
| Reflex Table for Cocaine Metabolite | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 738839 | Meconium Cocaine Confirmation | 738835 | m-OH-Benzoylecgonine | ng/gm | 40901-1 |
| Reflex Table for Cocaine Metabolite | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 738839 | Meconium Cocaine Confirmation | 809354 | Cocaethylene | ng/gm | 69011-5 |
| Reflex Table for Phencyclidine | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809264 | Meconium Phencyclidine Confirm | 809265 | Phencyclidine | ng/gm | 26859-9 |
| Reflex Table for Cannabinoids | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809267 | Meconium Carboxy-THC Confirm | 809268 | Carboxy-THC | ng/gm | 69007-3 |
| Reflex Table for Opiates | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809261 | Meconium Opiate Confirmation | 809262 | Codeine | ng/gm | 68542-0 |
| Reflex Table for Opiates | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809261 | Meconium Opiate Confirmation | 809263 | Morphine | ng/gm | 69027-1 |
| Reflex Table for Opiates | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809261 | Meconium Opiate Confirmation | 809297 | 6-Acetylmorphine | ng/gm | 29345-6 |
| Reflex Table for Opiates | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809261 | Meconium Opiate Confirmation | 809298 | Hydromorphone | ng/gm | 68541-2 |
| Reflex Table for Opiates | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809261 | Meconium Opiate Confirmation | 809339 | Hydrocodone | ng/gm | 68544-6 |
| Reflex Table for Oxycodone | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 803803 | Meconium Oxycodone Confirm. | 803804 | Oxycodone | ng/gm | 68543-8 |
| Reflex Table for Oxycodone | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 803803 | Meconium Oxycodone Confirm. | 803805 | Oxymorphone | ng/gm | 69028-9 |
| Reflex Table for Methadone | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809271 | Meconium Methadone Confirm. | 809272 | Methadone | ng/gm | 29159-1 |
| Reflex Table for Methadone | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 809271 | Meconium Methadone Confirm. | 809273 | Methadone Metabolite (EDDP) | ng/gm | 73562-1 |
| Reflex Table for Buprenorphine | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 791500 | Meconium Buprenorphine Confirm | 791510 | Buprenorphine | ng/gm | 75367-3 |
| Reflex Table for Buprenorphine | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 791500 | Meconium Buprenorphine Confirm | 791679 | Norbuprenorphine | ng/gm | 75379-8 |
| Reflex Table for Tramadol | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 701785 | Meconium Tramadol Confirmation | 701776 | Tramadol | ng/gm | 93720-1 |
| Reflex Table for Tramadol | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 701785 | Meconium Tramadol Confirmation | 701777 | O-Desmethyltramadol | ng/gm | 93721-9 |
| Reflex Table for Tramadol | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 701785 | Meconium Tramadol Confirmation | 701778 | N-Desmethyltramadol | ng/gm | 93722-7 |
| Reflex Table for Fentanyl | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 701954 | Meconium Fentanyl Confirmation | 701949 | Fentanyl | ng/gm | 61042-8 |
| Reflex Table for Fentanyl | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 701954 | Meconium Fentanyl Confirmation | 701951 | Norfentanyl | ng/gm | 61053-5 |