Test Summary Sheet for:

Purpose
Forensic Analysis; Exclusion Screen
Method(s)
Enzyme-Linked Immunosorbent Assay (ELISA)
Gas Chromatography/Mass Spectrometry (GC/MS)
Headspace Gas Chromatography (GC)
High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS)
Suggested CPT Code(s)
80307x4
New York State Approval Status

Approved

Turnaround Time

5 days (If Positive: 12 days)

Test Includes
1 Cannabinoids Enzyme-Linked Immunosorbent Assay (ELISA) ng/mL 10 Cannabinoid
2 Barbiturates Enzyme-Linked Immunosorbent Assay (ELISA) mcg/mL 0.04 Hypnotic, Sedative
3 Ethanol Ethyl Alcohol Headspace Gas Chromatography (GC) mg/dL 10 Hypnotic, Sedative, Volatile
4 Methanol Methyl Alcohol Headspace Gas Chromatography (GC) mg/dL 5 Environmental/Occupation Toxin
5 Isopropanol Isopropyl Alcohol Headspace Gas Chromatography (GC) mg/dL 5 Environmental/Occupation Toxin
6 Acetone Headspace Gas Chromatography (GC) mg/dL 5 Environmental/Occupation Toxin
7 Gamma-Hydroxybutyric Acid Gamma-Hydroxybutyrate; GHB Gas Chromatography/Mass Spectrometry (GC/MS) mcg/mL 5 Hypnotic, Sedative
8 6-Monoacetylmorphine High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 2
9 7-Amino Clonazepam Clonazepam Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Hypnotic, Sedative
10 7-Amino Flunitrazepam Flunitrazepam Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Hypnotic, Sedative
11 Acetyl Fentanyl High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 0.5 NPS
12 Alpha-Hydroxyalprazolam Alprazolam Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
13 Alprazolam Xanax® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
14 Amitriptyline Elavil®; Endep® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
15 Amphetamine Benzphetamine Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Stimulant, Anorexogenic
16 Benzoylecgonine Cocaine Degradation Product High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 50 Stimulant
17 Brompheniramine Dimetane; Dimetapp High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antihistamine
18 Buprenorphine High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 1 Narcotic Analgesic
19 Carisoprodol Soma® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 50 Muscle Relaxant
20 Chlordiazepoxide Librium® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
21 Chlorpheniramine Chlor-Trimeton® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antihistamine
22 Citalopram / Escitalopram Celexa® / Lexapro® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
23 Clobazam Frisium®; Urbanyl® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
24 Clonazepam Klonopin® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Anticonvulsant, Antiepileptic
25 Clonidine Catapres® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 1 Antihypertensive
26 Cocaethylene Cocaine/Ethanol By-Product High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 20 Stimulant
27 Cocaine High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 20 Stimulant
28 Codeine High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Narcotic Analgesic
29 Cyclobenzaprine Flexeril® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Muscle Relaxant
30 Desalkylflurazepam Flurazepam Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
31 Desipramine Imipramine Metabolite; Norpramin®; Pertofrane® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
32 Desmethyldoxepin Doxepin Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
33 Desmethylsertraline Norsertraline; Sertraline Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
34 Dextro / Levo Methorphan High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antitussive
35 Dextrorphan / Levorphanol Levo-Dromoran® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 100 Narcotic Analgesic
36 Diazepam Valium® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
37 Dihydrocodeine / Hydrocodol High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Narcotic Analgesic
38 Diphenhydramine Benadryl® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 50 Antihistamine
39 Doxepin Sinequan® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
40 Doxylamine Unisom® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antihistamine
41 EDDP Methadone Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Narcotic Analgesic
42 Estazolam ProSom® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
43 Eszopiclone / Zopiclone Imovane®; Lunesta® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 2 Sleep Aid
44 Fentanyl Duragesic®; Sublimaze® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 1 Anesthetic, Opioid Analgesic
45 Flunitrazepam Rohypnol® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Hypnotic, Sedative
46 Fluoxetine Prozac® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
47 Hydrocodone High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Narcotic Analgesic
48 Hydromorphone High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 2 Narcotic Analgesic
49 Hydroxyethylflurazepam Flurazepam Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
50 Hydroxytriazolam Triazolam Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Anxiolytic, Sedative
51 Imipramine Tofranil® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
52 Ketamine Ketalar® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 20 Hypnotic, Sedative
53 Lidocaine Xylocaine® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 200 Anesthetic (Local)
54 Lorazepam Ativan® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Anxiolytic, Tranquilizer
55 MDA 3,4-Methylenedioxyamphetamine; Adam; MDMA Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Stimulant
56 MDMA 3,4-Methylenedioxymethamphetamine; Ecstasy High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Stimulant
57 Meperidine Demerol® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Analgesic, Anesthetic
58 Meprobamate Carisoprodol Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 50 Muscle Relaxant
59 Methadone Dolophine® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Narcotic Analgesic
60 Methamphetamine Benzphetamine Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Stimulant
61 Midazolam Versed® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Anxiolytic, Sedative
62 Monoethylglycinexylidide (MEGX) Lidocaine Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 200 Anesthetic (Local)
63 Morphine High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Narcotic Analgesic
64 Norbuprenorphine - Free Buprenorphine Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 2 Narcotic Analgesic
65 Nordiazepam Chlordiazepoxide Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
66 Norfentanyl Fentanyl Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 1 Anesthetic, Opioid Analgesic
67 Norflunitrazepam Flunitrazepam Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 20 Hypnotic, Sedative
68 Norfluoxetine Fluoxetine Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
69 Norketamine Ketamine Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 20 Anesthetic
70 Normeperidine Meperidine Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Analgesic, Anesthetic
71 Norpropoxyphene Propoxyphene Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Analgesic
72 Nortriptyline Amitriptyline Metabolite; Aventyl®; Pamelor® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
73 O-Desmethyltramadol Tramadol Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Analgesic, Anti-Inflammatory
74 Oxazepam Diazepam Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
75 Oxycodone OxyContin®; Roxicodone® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Narcotic Analgesic
76 Oxymorphone High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 2 Narcotic Analgesic
77 Paroxetine Paxil® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
78 Phencyclidine Angel Dust; PCP; Sherm High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Hallucinogen
79 Phenytoin Dilantin® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 500 Anticonvulsant
80 Propoxyphene Darvon® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Analgesic
81 Scopolamine Maldemar®; Transderm-V® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anticholinergic, Poison
82 Sertraline Zoloft® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
83 Suvorexant Belsomra High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 20 Sleep Aid
84 Temazepam Diazepam Metabolite; Normison® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
85 Tetrahydrozoline Murine Tears Plus®; Tetryzoline; Tyzine®; Visine® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 0.05 Occular Vasoconstrictor
86 Tramadol Ultram®; Ultrex® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Analgesic, Anti-Inflammatory
87 Triazolam Halcion® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Anxiolytic, Sedative
88 Zaleplon Sonata® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Sleep Aid
89 Ziprasidone Geodon®; Zeldox® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 2 Antipsychotic
90 Zolpidem Ambien® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Hypnotic, Sedative
91 Scope Statement High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS)

Reflex Tests
Test Code Test Name
50011SP Barbiturates Confirmation, Serum/Plasma
50012SP Benzodiazepines Confirmation, Serum/Plasma
50013SP Cannabinoids Confirmation, Serum/Plasma
50014SP Cocaine and Metabolites Confirmation, Serum/Plasma
50015SP Methadone and Metabolite Confirmation, Serum/Plasma
50016SP Opiates - Free (Unconjugated) Confirmation, Serum/Plasma
50017SP Phencyclidine Confirmation, Serum/Plasma
50018SP Propoxyphene and Metabolite Confirmation, Serum/Plasma
5101SP Gamma-Hydroxybutyric Acid Confirmation, Serum/Plasma
52017SP Carisoprodol and Metabolite Confirmation, Serum/Plasma
52038SP Eszopiclone / Zopiclone Confirmation, Serum/Plasma
52048SP Flunitrazepam and Metabolites Confirmation, Serum/Plasma
52058SP Ketamine and Metabolite Confirmation, Serum/Plasma
52062SP Lidocaine and Metabolite (MEGX) Confirmation, Serum/Plasma
52068SP Meperidine and Metabolite Confirmation, Serum/Plasma
52096SP Paroxetine Confirmation, Serum/Plasma
52105SP Phenytoin Confirmation, Serum/Plasma
52115SP Scopolamine Confirmation, Serum/Plasma
52116SP Sertraline and Desmethylsertraline Confirmation, Serum/Plasma
52128SP Tramadol and Metabolite Confirmation, Serum/Plasma
52137SP Zaleplon Confirmation, Serum/Plasma
52139SP Zolpidem Confirmation, Serum/Plasma
52168SP Amitriptyline and Metabolite Confirmation, Serum/Plasma
52245SP Brompheniramine Confirmation, Serum/Plasma
52250SP Alcohols and Acetone Confirmation, Serum/Plasma
52276SP Imipramine and Metabolite Confirmation, Serum/Plasma
52278SP Doxepin and Metabolite Confirmation, Serum/Plasma
52285SP Doxylamine Confirmation, Serum/Plasma
52287SP Fluoxetine and Metabolite Confirmation, Serum/Plasma
52412SP MDMA / Methedrone Confirmation (Qualitative), Serum/Plasma
52427SP Tetrahydrozoline Confirmation, Serum/Plasma
52429SP Ziprasidone Confirmation, Serum/Plasma
52435SP Clonidine Confirmation, Serum/Plasma
52440SP Chlorpheniramine Confirmation, Serum/Plasma
52441SP Diphenhydramine Confirmation, Serum/Plasma
52445SP Cyclobenzaprine Confirmation, Serum/Plasma
52451SP D/L Methorphan, Dextrorphan & Levorphanol Confirmation, Serum/Plasma
52482SP Citalopram Confirmation, Serum/Plasma
52484SP Fentanyl and Acetyl Fentanyl Confirmation, Serum/Plasma
52490SP Suvorexant Confirmation, Serum/Plasma
52491SP Amphetamines Confirmation, Serum/Plasma
52492SP Synthetic Opioids - Free (Unconjugated) Confirmation, Serum/Plasma
Specimen Type
Serum or Plasma
Requested Volume
10 mL
Minimum Volume
5.15 mL
Special Handling
Serum: Collect sample in Red top tube
Plasma: Collect sample in Gray top tube (Sodium Fluoride / Potassium Oxalate).
Collect sample using alcohol free skin preparation. Promptly centrifuge and separate Serum or Plasma into an plastic screw capped vial using approved guidelines.
Specimen Container
Lavender top tube (EDTA), Plastic container (preservative-free), Red top tube (no additive)

Additional Collection Instructions

Transport Temperature
Refrigerated
Light Protection
Not Required
Rejection Criteria
Light Blue top tube (Sodium Citrate). Polymer gel separation tube (SST or PST). Yellow top tube (ACD - Acid Citrate Dextrose).

Rejection criteria pertain to clinical specimen submissions only.

Stability
Room Temperature: Undetermined
Refrigerated: Undetermined
Frozen (-20 °C): Undetermined
1 Cannabinoids Enzyme-Linked Immunosorbent Assay (ELISA) ng/mL 10 Cannabinoid
2 Barbiturates Enzyme-Linked Immunosorbent Assay (ELISA) mcg/mL 0.04 Hypnotic, Sedative
3 Ethanol Ethyl Alcohol Headspace Gas Chromatography (GC) mg/dL 10 Hypnotic, Sedative, Volatile
4 Methanol Methyl Alcohol Headspace Gas Chromatography (GC) mg/dL 5 Environmental/Occupation Toxin
5 Isopropanol Isopropyl Alcohol Headspace Gas Chromatography (GC) mg/dL 5 Environmental/Occupation Toxin
6 Acetone Headspace Gas Chromatography (GC) mg/dL 5 Environmental/Occupation Toxin
7 Gamma-Hydroxybutyric Acid Gamma-Hydroxybutyrate; GHB Gas Chromatography/Mass Spectrometry (GC/MS) mcg/mL 5 Hypnotic, Sedative
8 6-Monoacetylmorphine High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 2
9 7-Amino Clonazepam Clonazepam Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Hypnotic, Sedative
10 7-Amino Flunitrazepam Flunitrazepam Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Hypnotic, Sedative
11 Acetyl Fentanyl High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 0.5 NPS
12 Alpha-Hydroxyalprazolam Alprazolam Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
13 Alprazolam Xanax® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
14 Amitriptyline Elavil®; Endep® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
15 Amphetamine Benzphetamine Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Stimulant, Anorexogenic
16 Benzoylecgonine Cocaine Degradation Product High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 50 Stimulant
17 Brompheniramine Dimetane; Dimetapp High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antihistamine
18 Buprenorphine High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 1 Narcotic Analgesic
19 Carisoprodol Soma® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 50 Muscle Relaxant
20 Chlordiazepoxide Librium® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
21 Chlorpheniramine Chlor-Trimeton® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antihistamine
22 Citalopram / Escitalopram Celexa® / Lexapro® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
23 Clobazam Frisium®; Urbanyl® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
24 Clonazepam Klonopin® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Anticonvulsant, Antiepileptic
25 Clonidine Catapres® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 1 Antihypertensive
26 Cocaethylene Cocaine/Ethanol By-Product High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 20 Stimulant
27 Cocaine High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 20 Stimulant
28 Codeine High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Narcotic Analgesic
29 Cyclobenzaprine Flexeril® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Muscle Relaxant
30 Desalkylflurazepam Flurazepam Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
31 Desipramine Imipramine Metabolite; Norpramin®; Pertofrane® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
32 Desmethyldoxepin Doxepin Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
33 Desmethylsertraline Norsertraline; Sertraline Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
34 Dextro / Levo Methorphan High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antitussive
35 Dextrorphan / Levorphanol Levo-Dromoran® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 100 Narcotic Analgesic
36 Diazepam Valium® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
37 Dihydrocodeine / Hydrocodol High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Narcotic Analgesic
38 Diphenhydramine Benadryl® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 50 Antihistamine
39 Doxepin Sinequan® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
40 Doxylamine Unisom® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antihistamine
41 EDDP Methadone Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Narcotic Analgesic
42 Estazolam ProSom® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
43 Eszopiclone / Zopiclone Imovane®; Lunesta® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 2 Sleep Aid
44 Fentanyl Duragesic®; Sublimaze® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 1 Anesthetic, Opioid Analgesic
45 Flunitrazepam Rohypnol® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Hypnotic, Sedative
46 Fluoxetine Prozac® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
47 Hydrocodone High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Narcotic Analgesic
48 Hydromorphone High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 2 Narcotic Analgesic
49 Hydroxyethylflurazepam Flurazepam Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
50 Hydroxytriazolam Triazolam Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Anxiolytic, Sedative
51 Imipramine Tofranil® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
52 Ketamine Ketalar® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 20 Hypnotic, Sedative
53 Lidocaine Xylocaine® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 200 Anesthetic (Local)
54 Lorazepam Ativan® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Anxiolytic, Tranquilizer
55 MDA 3,4-Methylenedioxyamphetamine; Adam; MDMA Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Stimulant
56 MDMA 3,4-Methylenedioxymethamphetamine; Ecstasy High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Stimulant
57 Meperidine Demerol® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Analgesic, Anesthetic
58 Meprobamate Carisoprodol Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 50 Muscle Relaxant
59 Methadone Dolophine® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Narcotic Analgesic
60 Methamphetamine Benzphetamine Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Stimulant
61 Midazolam Versed® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Anxiolytic, Sedative
62 Monoethylglycinexylidide (MEGX) Lidocaine Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 200 Anesthetic (Local)
63 Morphine High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Narcotic Analgesic
64 Norbuprenorphine - Free Buprenorphine Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 2 Narcotic Analgesic
65 Nordiazepam Chlordiazepoxide Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
66 Norfentanyl Fentanyl Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 1 Anesthetic, Opioid Analgesic
67 Norflunitrazepam Flunitrazepam Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 20 Hypnotic, Sedative
68 Norfluoxetine Fluoxetine Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
69 Norketamine Ketamine Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 20 Anesthetic
70 Normeperidine Meperidine Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Analgesic, Anesthetic
71 Norpropoxyphene Propoxyphene Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Analgesic
72 Nortriptyline Amitriptyline Metabolite; Aventyl®; Pamelor® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
73 O-Desmethyltramadol Tramadol Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Analgesic, Anti-Inflammatory
74 Oxazepam Diazepam Metabolite High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
75 Oxycodone OxyContin®; Roxicodone® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Narcotic Analgesic
76 Oxymorphone High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 2 Narcotic Analgesic
77 Paroxetine Paxil® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
78 Phencyclidine Angel Dust; PCP; Sherm High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Hallucinogen
79 Phenytoin Dilantin® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 500 Anticonvulsant
80 Propoxyphene Darvon® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Analgesic
81 Scopolamine Maldemar®; Transderm-V® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anticholinergic, Poison
82 Sertraline Zoloft® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Antidepressant
83 Suvorexant Belsomra High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 20 Sleep Aid
84 Temazepam Diazepam Metabolite; Normison® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Anxiolytic, Sedative
85 Tetrahydrozoline Murine Tears Plus®; Tetryzoline; Tyzine®; Visine® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 0.05 Occular Vasoconstrictor
86 Tramadol Ultram®; Ultrex® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Analgesic, Anti-Inflammatory
87 Triazolam Halcion® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Anxiolytic, Sedative
88 Zaleplon Sonata® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 5 Sleep Aid
89 Ziprasidone Geodon®; Zeldox® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 2 Antipsychotic
90 Zolpidem Ambien® High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS) ng/mL 10 Hypnotic, Sedative
91 Scope Statement High Performance Liquid Chromatography/Time of Flight-Mass Spectrometry (LC/TOF-MS)

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.