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Test Code FENTUM Fentanyl with Metabolite Confirmation, Random, Urine

Additional Codes

Mayo FENTU
Epic ID LAB1861

 

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.



Additional Testing Requirements


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



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.

Additional Information:

1. No specimen substitutions.

2. STAT requests are not accepted for this procedure.

3. Submitting less than 5 mL will compromise our ability to perform all necessary testing.


Specimen Minimum Volume

2.1 mL

Specimen Stability Information

Specimen Type Temperature Time
Urine Refrigerated (preferred) 28 days
  Frozen  28 days
  Ambient  21 days
UPH Waterloo Region Lab Test Catalog Note:

Transport refrigerated.

Reject Due To

Gross hemolysis OK
Gross icterus Reject

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Method Name

Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS)

Useful For

Detection and confirmation of illicit drug use involving fentanyl

Day(s) Performed

Monday through Friday

Report Available

4 to 7 days

Reference Values

Negative

Positive results are reported with a quantitative result.

 

Cutoff concentrations by liquid chromatography tandem mass spectrometry:

Fentanyl: 0.2 ng/mL

Norfentanyl: 1.0 ng/mL

CPT Code Information

G0480

80354 (if appropriate for select payers)

Clinical Toxicology CPT Code Client Guidance