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Test Code FENRM Fentanyl Screen with Reflex, Random, Urine

Additional Codes

Mayo FENR
Epic ID LAB5186

 

Specimen Type

Urine


Ordering Guidance


For situations where chain of custody is required, a Chain of Custody Kit (T282) is available. For chain-of-custody testing, order FENTX / Fentanyl with Metabolite Confirmation, Chain of Custody, Random, Urine.

 

For monitoring therapeutic drug levels, order FENTS / Fentanyl, Serum.



Additional Testing Requirements


If urine creatinine is required or adulteration of the sample is suspected, the ADULT / Adulterants Survey, Random, Urine test should also be ordered.



Specimen Required


Supplies: Sarstedt Aliquot Tube, 5 mL (T914)

Collection Container/Tube: Clean, plastic urine collection container

Submission Container/Tube: Plastic, 5-mL tube

Specimen Volume: 5 mL

Collection Instructions:

1. Collect a random urine specimen.

2. No preservative.


Specimen Minimum Volume

2.5 mL

Specimen Stability Information

Specimen Type Temperature Time
Urine Refrigerated (preferred) 14 days
  Frozen  14 days
  Ambient  72 hours
UPH Waterloo Region Lab Test Catalog Note:

Transport refrigerated.

Reject Due To

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

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Method Name

Immunoassay

Profile Information

Test ID Reporting Name Available Separately Always Performed
FENS Fentanyl Screen, U Yes Yes

Testing Algorithm

Testing begins with a screening assay. If the fentanyl screen is positive, then the liquid chromatography tandem mass spectrometry confirmation with quantification will be performed at an additional charge.

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
FENTU Fentanyl w/metabolite Conf, U Yes No

Useful For

Screening for drug abuse or use involving fentanyl and confirmation of fentanyl if present in the screen

Day(s) Performed

Monday through Saturday

Report Available

Same day/1 to 2 days

Reference Values

Negative

Screening cutoff concentration: 2 ng/mL

CPT Code Information

80307