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HelpTest Code TRAMM Tramadol and Metabolite, Random, Urine
Additional Codes
| Mayo | TRAM |
| Epic ID | LAB3080 |
Special Instructions
Specimen Type
UrineOrdering Guidance
Additional Testing Requirements
If urine creatinine is required or adulteration of the sample 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: Plastic urine container
Submission Container/Tube: Plastic vial
Specimen Volume: 1 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 test.
3. Submitting less than 1 mL will compromise our ability to perform all necessary testing.
Specimen Minimum Volume
0.5 mL
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Urine | Refrigerated (preferred) | 14 days |
| Ambient | 14 days | |
| Frozen | 14 days |
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
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Useful For
Monitoring of compliance utilizing tramadol
Detection and confirmation of the illicit use of tramadol
This test is not intended for use in employment-related testing.
Day(s) Performed
Tuesday, Thursday
Report Available
2 to 6 daysReference Values
Negative (Positive results are reported with a quantitative result.)
Cutoff concentrations by liquid chromatography tandem mass spectrometry:
Tramadol: 25 ng/mL
O-desmethyltramadol: 25 ng/mL
CPT Code Information
G0480
80373 (if appropriate for select payers)