Organophosphate Pesticide Metabolites, Urine

Test Summary Sheet for:

Purpose

Exposure Monitoring

Method(s)

Colorimetry (C)

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

Suggested CPT Code(s)

82570

84430

New York State Approval Status

Approved

Turnaround Time

8 days (If Positive: 12 days)

Test Includes


1	Creatinine	Colorimetry (C)	mg/L	100	Biological Marker (Renal)
2	Dimethylphosphate (DMP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	5	Organophosphate Pesticide
3	Dimethylthiophosphate (DMTP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	2	Organophosphate Pesticide
4	Dimethyldithiophosphate (DMDTP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.5	Organophosphate Pesticide
5	Sum of Dimethyl Alkyl Phosphates (DMAP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	nmol/L
6	Sum of Dimethyl Alkyl Phosphates (DMAP) (Creatinine Corrected)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	nmol/g Creat
7	Diethylphosphate (DEP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	2.5	Organophosphate Pesticide
8	Diethylthiophosphate (DETP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	1	Organophosphate Pesticide
9	Diethyldithiophosphate (DEDTP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.5	Organophosphate Pesticide
10	Sum of Diethyl Alkyl Phosphates (DEAP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	nmol/L
11	Sum of Diethyl Alkyl Phosphates (DEAP) (Creatinine Corrected)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	nmol/g Creat
12	Total Dialkyl Phosphates (DAP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	nmol/L
13	Total Dialkyl Phosphates (DAP) (Creatinine Corrected)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	nmol/g Creat

Test Also Known As

Codeine; Heroin; Morphine; Opium

Reflex Tests

Test Code	Test Name
6022U	Specific Gravity Confirmation, Urine

Specimen Type

Urine

Requested Volume

2 mL

Minimum Volume

1.0 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: 5 day(s)
Refrigerated: 30 day(s)
Frozen (-20 °C): 6 month(s)


1	Creatinine	Colorimetry (C)	mg/L	100	Biological Marker (Renal)
2	Dimethylphosphate (DMP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	5	Organophosphate Pesticide
3	Dimethylthiophosphate (DMTP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	2	Organophosphate Pesticide
4	Dimethyldithiophosphate (DMDTP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.5	Organophosphate Pesticide
5	Sum of Dimethyl Alkyl Phosphates (DMAP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	nmol/L
6	Sum of Dimethyl Alkyl Phosphates (DMAP) (Creatinine Corrected)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	nmol/g Creat
7	Diethylphosphate (DEP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	2.5	Organophosphate Pesticide
8	Diethylthiophosphate (DETP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	1	Organophosphate Pesticide
9	Diethyldithiophosphate (DEDTP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	ng/mL	0.5	Organophosphate Pesticide
10	Sum of Diethyl Alkyl Phosphates (DEAP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	nmol/L
11	Sum of Diethyl Alkyl Phosphates (DEAP) (Creatinine Corrected)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	nmol/g Creat
12	Total Dialkyl Phosphates (DAP)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	nmol/L
13	Total Dialkyl Phosphates (DAP) (Creatinine Corrected)	High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)	nmol/g Creat

Example Report (Negative)

Example Report (Positive)

Interface Map

3245U Organophosphate Pesticide Metabolites, Urine - Current Version
Analyte	Units	Analyte Mapping Code	LOINC®
Creatinine	mg/L	CREAT	2161-8
Dimethylphosphate (DMP)	ng/mL	DMPH
Dimethylthiophosphate (DMTP)	ng/mL	DMTH
Dimethyldithiophosphate (DMDTP)	ng/mL	DMDT
Sum of Dimethyl Alkyl Phosphates (DMAP)	nmol/L	DMTO
Sum of Dimethyl Alkyl Phosphates (DMAP) (Creatinine Corrected)	nmol/g Creat	DMTOCR
Diethylphosphate (DEP)	ng/mL	DEPH
Diethylthiophosphate (DETP)	ng/mL	DETH
Diethyldithiophosphate (DEDTP)	ng/mL	DEDT
Sum of Diethyl Alkyl Phosphates (DEAP)	nmol/L	DETO
Sum of Diethyl Alkyl Phosphates (DEAP) (Creatinine Corrected)	nmol/g Creat	DETOCR
Total Dialkyl Phosphates (DAP)	nmol/L	DEDMT
Total Dialkyl Phosphates (DAP) (Creatinine Corrected)	nmol/g Creat	DEDMTCR

LOINC^® Information

3245U Organophosphate Pesticide Metabolites, Urine - Current Version
Analyte	Units	Analyte Mapping Code	LOINC®
Creatinine	mg/L	CREAT	2161-8
Dimethylphosphate (DMP)	ng/mL	DMPH
Dimethylthiophosphate (DMTP)	ng/mL	DMTH
Dimethyldithiophosphate (DMDTP)	ng/mL	DMDT
Sum of Dimethyl Alkyl Phosphates (DMAP)	nmol/L	DMTO
Sum of Dimethyl Alkyl Phosphates (DMAP) (Creatinine Corrected)	nmol/g Creat	DMTOCR
Diethylphosphate (DEP)	ng/mL	DEPH
Diethylthiophosphate (DETP)	ng/mL	DETH
Diethyldithiophosphate (DEDTP)	ng/mL	DEDT
Sum of Diethyl Alkyl Phosphates (DEAP)	nmol/L	DETO
Sum of Diethyl Alkyl Phosphates (DEAP) (Creatinine Corrected)	nmol/g Creat	DETOCR
Total Dialkyl Phosphates (DAP)	nmol/L	DEDMT
Total Dialkyl Phosphates (DAP) (Creatinine Corrected)	nmol/g Creat	DEDMTCR


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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.