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)
80323
New York State Approval Status

Approved

Turnaround Time

8 days

Test Includes
1 Psilocin 4-hydroxy-dimethyltryptamine; 4-OH-DMT High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 10 Hallucinogen

Specimen Type
Serum or Plasma
Requested Volume
2 mL
Minimum Volume
0.7 mL
Special Handling
Serum: Collect sample in Red top tube
Plasma: Collect sample in Lavender top tube (EDTA) or Pink top tube.
Promptly centrifuge and separate Serum or Plasma into a plastic screw capped vial using approved guidelines.
Specimen Container
Plastic container (preservative-free)

Additional Collection Instructions

Transport Temperature
Refrigerated
Light Protection
Not Required
Rejection Criteria
Received Room Temperature. Polymer gel separation tube (SST or PST).

Rejection criteria pertain to clinical specimen submissions only.

Stability
Room Temperature: 3 day(s)
Refrigerated: 14 day(s)
Frozen (-20 °C): 30 day(s)

If this test contains multiple compounds, the reported stability reflects that which is least stable. Stability may vary among compounds included in the test and may be dependent upon matrix, pH, collection tube, and storage temperature. Negative results should be interpreted with caution. For more information on stability of a specific compound please contact the laboratory.
NOTE: If the test contains multiple compounds samples received at room temperature will not be rejected.
1 Psilocin 4-hydroxy-dimethyltryptamine; 4-OH-DMT High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 10 Hallucinogen

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.