Designer Opioids (Qualitative), Urine

Method(s)

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

Suggested CPT Code(s)

80354

80364

New York State Approval Status

Approved

Turnaround Time

4 days

Test Includes


1	Methoxyacetylfentanyl		High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
2	4-ANPP	Despropionyl fentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.1	NPS
3	THF-F	Tetrahydrofuran fentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
4	meta-Methylmethoxyacetylfentanyl	3-Methylmethoxyacetylfentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
5	para-Methylmethoxyacetylfentanyl	4-Methylmethoxyacetylfentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
6	Acrylfentanyl	Acryloylfentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
7	para-Fluorofentanyl	4-Fluorofentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
8	ortho-Fluorofentanyl	2-Fluorofentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
9	2-Furanylfentanyl	Fu-F; Furanylfentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
10	U-47700	U-4	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
11	U-49900		High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
12	U-51754		High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
13	Carfentanil	Carfentanyl; Wildnil®	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
14	Cyclopropylfentanyl		High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
15	trans-3-Methylfentanyl		High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
16	cis-3-Methylfentanyl		High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
17	Isobutyrylfentanyl	Isobutyrfentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
18	Butyrylfentanyl	Butyrfentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
19	para-Fluoroisobutyrylfentanyl	4F-Isobutyrylfentanyl; FIBF	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
20	para-Fluorobutyrylfentanyl	4F-butyryl fentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
21	Valerylfentanyl	Pentylfentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS

Compliance Statement

This test was developed and its performance characteristics determined by NMS Labs. It has not been cleared or approved by the US Food and Drug Administration.

Sample Type

Urine

Requested Volume

2 mL

Minimum Volume

0.7 mL

Special Handling

None

Sample Container

Plastic container (preservative-free)

Additional Collection Instructions

Transport Temperature

Refrigerated

Light Protection

Not Required

Rejection Criteria

None

Rejection criteria pertain to clinical sample submissions only.

Stability

Room Temperature: 7 day(s)
Refrigerated: 30 day(s)
Frozen (-20 °C): 30 day(s)


1	Methoxyacetylfentanyl		High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
2	4-ANPP	Despropionyl fentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.1	NPS
3	THF-F	Tetrahydrofuran fentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
4	meta-Methylmethoxyacetylfentanyl	3-Methylmethoxyacetylfentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
5	para-Methylmethoxyacetylfentanyl	4-Methylmethoxyacetylfentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
6	Acrylfentanyl	Acryloylfentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
7	para-Fluorofentanyl	4-Fluorofentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
8	ortho-Fluorofentanyl	2-Fluorofentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
9	2-Furanylfentanyl	Fu-F; Furanylfentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
10	U-47700	U-4	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
11	U-49900		High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
12	U-51754		High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
13	Carfentanil	Carfentanyl; Wildnil®	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
14	Cyclopropylfentanyl		High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
15	trans-3-Methylfentanyl		High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
16	cis-3-Methylfentanyl		High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
17	Isobutyrylfentanyl	Isobutyrfentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
18	Butyrylfentanyl	Butyrfentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
19	para-Fluoroisobutyrylfentanyl	4F-Isobutyrylfentanyl; FIBF	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
20	para-Fluorobutyrylfentanyl	4F-butyryl fentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS
21	Valerylfentanyl	Pentylfentanyl	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.05	NPS

Example Report (Negative)

Example Report (Positive)

Interface Map

1480U Designer Opioids (Qualitative), Urine - Current Version
Analyte	Units	Analyte Mapping Code
Methoxyacetylfentanyl	ng/mL	MXYACFENQL
4-ANPP	ng/mL	4ANPPQL
THF-F	ng/mL	THFFQL
meta-Methylmethoxyacetylfentanyl	ng/mL	MMMACFENQL
para-Methylmethoxyacetylfentanyl	ng/mL	PMMAFENTQL
Acrylfentanyl	ng/mL	ACRYLFENQL
para-Fluorofentanyl	ng/mL	PFLFENTQL
ortho-Fluorofentanyl	ng/mL	OFLFENTQL
2-Furanylfentanyl	ng/mL	2FURANFQL
U-47700	ng/mL	U47700QL
U-49900	ng/mL	U49900QL
U-51754	ng/mL	U51754QL
Carfentanil	ng/mL	CARFENTQL
Cyclopropylfentanyl	ng/mL	CYCLOFENQL
trans-3-Methylfentanyl	ng/mL	TRA3MFNTQL
cis-3-Methylfentanyl	ng/mL	CIS3MFENQL
Isobutyrylfentanyl	ng/mL	IBUTYRFQL
Butyrylfentanyl	ng/mL	BUTYRFENQL
para-Fluoroisobutyrylfentanyl	ng/mL	FIBFQL
para-Fluorobutyrylfentanyl	ng/mL	PFBFQL
Valerylfentanyl	ng/mL	VALFENTQL

1480U Designer Opioids (Qualitative), Urine - **Effective 07/10/2023**
Analyte	Units	Analyte Mapping Code
Methoxyacetylfentanyl	ng/mL	MXYACFENQL
Acrylfentanyl	ng/mL	ACRYLFENQL
para-Fluorofentanyl	ng/mL	PFLFENTQL
ortho-Fluorofentanyl	ng/mL	OFLFENTQL
2-Furanylfentanyl	ng/mL	2FURANFQL
U-47700	ng/mL	U47700QL
Carfentanil	ng/mL	CARFENTQL
Cyclopropylfentanyl	ng/mL	CYCLOFENQL
trans-3-Methylfentanyl	ng/mL	TRA3MFNTQL
cis-3-Methylfentanyl	ng/mL	CIS3MFENQL
Isobutyrylfentanyl	ng/mL	IBUTYRFQL
Butyrylfentanyl	ng/mL	BUTYRFENQL
para-Fluoroisobutyrylfentanyl	ng/mL	FIBFQL
Valerylfentanyl	ng/mL	VALFENTQL

LOINC^® Information

1480U Designer Opioids (Qualitative), Urine - Current Version
Analyte	Units	Analyte Mapping Code
Methoxyacetylfentanyl	ng/mL	MXYACFENQL
4-ANPP	ng/mL	4ANPPQL
THF-F	ng/mL	THFFQL
meta-Methylmethoxyacetylfentanyl	ng/mL	MMMACFENQL
para-Methylmethoxyacetylfentanyl	ng/mL	PMMAFENTQL
Acrylfentanyl	ng/mL	ACRYLFENQL
para-Fluorofentanyl	ng/mL	PFLFENTQL
ortho-Fluorofentanyl	ng/mL	OFLFENTQL
2-Furanylfentanyl	ng/mL	2FURANFQL
U-47700	ng/mL	U47700QL
U-49900	ng/mL	U49900QL
U-51754	ng/mL	U51754QL
Carfentanil	ng/mL	CARFENTQL
Cyclopropylfentanyl	ng/mL	CYCLOFENQL
trans-3-Methylfentanyl	ng/mL	TRA3MFNTQL
cis-3-Methylfentanyl	ng/mL	CIS3MFENQL
Isobutyrylfentanyl	ng/mL	IBUTYRFQL
Butyrylfentanyl	ng/mL	BUTYRFENQL
para-Fluoroisobutyrylfentanyl	ng/mL	FIBFQL
para-Fluorobutyrylfentanyl	ng/mL	PFBFQL
Valerylfentanyl	ng/mL	VALFENTQL

1480U Designer Opioids (Qualitative), Urine - **Effective 07/10/2023**
Analyte	Units	Analyte Mapping Code
Methoxyacetylfentanyl	ng/mL	MXYACFENQL
Acrylfentanyl	ng/mL	ACRYLFENQL
para-Fluorofentanyl	ng/mL	PFLFENTQL
ortho-Fluorofentanyl	ng/mL	OFLFENTQL
2-Furanylfentanyl	ng/mL	2FURANFQL
U-47700	ng/mL	U47700QL
Carfentanil	ng/mL	CARFENTQL
Cyclopropylfentanyl	ng/mL	CYCLOFENQL
trans-3-Methylfentanyl	ng/mL	TRA3MFNTQL
cis-3-Methylfentanyl	ng/mL	CIS3MFENQL
Isobutyrylfentanyl	ng/mL	IBUTYRFQL
Butyrylfentanyl	ng/mL	BUTYRFENQL
para-Fluoroisobutyrylfentanyl	ng/mL	FIBFQL
Valerylfentanyl	ng/mL	VALFENTQL

Some LOINC^® codes may not have been assigned or are not available.

This material contains content from LOINC (http://loinc.org). LOINC is copyright ^® 1995-2023, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC^® is a registered United States trademark of Regenstrief Institute, Inc.

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.