Test Summary Sheet for:

Purpose
Drug of Abuse Monitoring
Method(s)
High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)
Suggested CPT Code(s)
80346
New York State Approval Status

Approved

Turnaround Time

8 days

Test Includes
1 Bromazepam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 NPS
2 Clonazolam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 NPS
3 Pyrazolam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 NPS
4 Meclonazepam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 NPS
5 Flubromazolam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 2 NPS
6 Etizolam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 2 NPS
7 Deschloroetizolam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 2 NPS
8 Flubromazepam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 20 NPS
9 Delorazepam Chlordesmethyldiazepam; Cloxazolam metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 NPS
10 Phenazepam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 20 NPS
11 Diclazepam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 NPS

Test Also Known As
2'-Chlorodiazepam; AHR3219; Akton Lubali ; Brazepam; Bromaze; Chlordesmethyldiazepam; Chlornordiazepam; Clonitrazolam; Dadumir; Depas; EN; Etilaam; Etizest ; Etizola; Etizolam-2; Lectopam; Lexaurin; Lexilium; Lexotan; Lexotanil; nordiclazepam; Pasaden; RC Benzo; Rekotnil ; Research Benzodiazepine; Ro 5-3448; Sedekopan; Sepazon Olcadil; Somalium; Y7131
Specimen Type
Urine
Requested Volume
2 mL
Minimum Volume
0.7 mL
Special Handling
None
Specimen Container
Plastic container (preservative-free)

Additional Collection Instructions

Transport Temperature
Refrigerated
Light Protection
Not Required
Rejection Criteria
Received Room Temperature.

Rejection criteria pertain to clinical specimen submissions only.

Stability
Room Temperature: Not Stable
Refrigerated: 14 day(s)
Frozen (-20 °C): 30 day(s)
1 Bromazepam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 NPS
2 Clonazolam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 NPS
3 Pyrazolam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 NPS
4 Meclonazepam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 NPS
5 Flubromazolam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 2 NPS
6 Etizolam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 2 NPS
7 Deschloroetizolam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 2 NPS
8 Flubromazepam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 20 NPS
9 Delorazepam Chlordesmethyldiazepam; Cloxazolam metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 NPS
10 Phenazepam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 20 NPS
11 Diclazepam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 NPS

Interface Map

LOINC® Information

The CPT Codes provided in this document are based on AMA Guidelines and are for informational purposes only. NMS Labs Does not assume responsibility for billing errors due to Reliance on the CPT Codes listed in this document.

*The information contained in this document represents database configurations, as they will appear on the effective date listed above.