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Test Code FSHPUM Sedative Hypnotic Panel, Urine

Additional Codes

Epic EAP Mayo Code
LAB4916 FSHPU

 

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
FMETA Ethyl Alcohol Confirmation, UR No No
FBARB Barbiturate Confirmation, UR No No
FGHAC Gamma-Hydroxybutyric Acid, CF, UR No No
FKMCU Ketamine Confirmation, UR No No
FFTZC Flunitrazepam Confirmation, Urine No No
FBCQ Benzodiazepines MS Conf, UR No No

Testing Algorithm

If the Sedative Hypnotic Screen is positive, confirmation(s) will be added:

Alcohol, Ethyl: If positive, then the Ethyl Alcohol Confirmation (FMETA) will be performed at no additional charge.

 

Barbiturates: If positive, then the Barbiturate Confirmation (FBARB) will be performed at no additional charge.

 

Flunitrazepam: If positive, then the Flunitrazepam Confirmation (FFTZC) will be performed at no additional charge.

 

Benzodiazepines: If positive, then the Benzodiazepine Confirmation (FBCQ) will be performed at an additional charge.

 

Ketamine: If non-negative, then the Ketamine Confirmation (FKMCU) will be performed at an additional charge.

 

GHB: If non-negative, then the Gamma-Hydroxybutyric Acid Confirmation (FGHAC) will be performed at an additional charge.

 

 

Reporting Name

Sedative Hypnotic Panel, UR

Specimen Type

Urine


Specimen Required


Collect 10 mL random urine without preservatives. Ship refrigerated in a plastic container.


Specimen Minimum Volume

5 mL

Specimen Stability Information

Specimen Type Temperature Time
Urine Refrigerated (preferred) 14 days
  Frozen  180 days
  Ambient  72 hours

Reject Due To

Hemolysis NA
Lipemia NA
Icterus NA
Other NA

Reference Values

The following threshold concentrations are used for this analysis.

Drug                             Screening Threshold         Confirmation Threshold

Ethyl Alcohol                0.020 gm/dL                              0.020 gm/dL

Barbiturates                  300 ng/mL                                 100 ng/mL

Benzodiazepines           100 ng/mL                                 75 ng/mL

Flunitrazepam               100 ng/mL                                 300 ng/mL

 

Ketamine: Negative

  Screening threshold: 100 ng/mL

 

Gamma-Hydroxybutyric Acid (GHB): Negative

  Screening threshold: 5.0 ug/mL

Day(s) Performed

Monday through Sunday

Report Available

7 to 10 days

Performing Laboratory

Medtox Laboratories, Inc.
UnityPoint Health-Saint Luke's Sioux City Note:

Mayo forwards to Medtox

CPT Code Information

80307

LOINC Code Information

Test ID Test Order Name Order LOINC Value
FSHPU Sedative Hypnotic Panel, UR Not Provided

 

Result ID Test Result Name Result LOINC Value
Z4229 Alcohol, Ethyl 5645-7
Z4230 Barbiturates 9426-8
Z4231 Flunitrazepam 3641-8
Z4232 Benzodiazepines 9428-4
Z4233 Ketamine Screen, UR 19501-6
Z4142 GHB 29868-7

Method Name

Immunoassay (IA)

Gas Chromatography/Flame Ionization Detection (GC-FID) (if appropriate)

Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) (if appropriate)

Gas Chromatography/Mass Spectrometry (GC/MS) (if appropriate)