Clinics and Departments

Laboratory Services

Lab Dept:

Chemistry

Test Name:

SEDATIVE HYPNOTIC PANEL, URINE

General Information

Lab Order Codes:

SHP

Synonyms:

Date Rape Panel, Urine

CPT Codes:

80304 – Drug screen, any number of drug classes, presumptive, single or multiple drug class method; not otherwise specified presumptive procedure (eg, TOF, MALDI, LDTD, DESI, DART), each procedure
80301 – Drug screen, any number of drug classes from Drug Class List A; single drug class method, by instrument test systems (eg, discrete multichannel chemistry analyzers utilizing immunoassay or enzyme assay), per date of service

Additional testing if indicated:

80375 - Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3
80357 - Ketamine and norketamine

Test Includes:

Ethyl Alcohol, Barbiturates, Flunitrazepam, Benzodiazepines, Ketamine,
and Gamma-Hydroxybutyric Acid

Logistics

Test Indications:

N/A

Lab Testing Sections:

Chemistry - Sendouts

Referred to:

MedTox Laboratories (MedTox Test: 19253)

Phone Numbers:

MIN Lab: 612-813-6280

STP Lab: 651-220-6550

Test Availability:

Daily, 24 hours

Turnaround Time:

7 days

Special Instructions:

N/A

Specimen

Specimen Type:

Aliquot of random or spot urine collection

Container:

Screw-capped urine container without preservative

Draw Volume:

10 mL urine

Processed Volume:

Same as Draw Volume

Collection:

Random or spot urine collection

Special Processing:

Lab Staff: Aliquot urine into a screw-capped plastic vial without preservative. Store and ship at refrigerated temperatures. Ambient or frozen temperature is acceptable. Forward promptly.

Patient Preparation:

None

Sample Rejection:

Mislabeled specimens or unlabeled specimens

Interpretive

Reference Range:

Drug Screened:

Reference Range:

Positives Confirmed, reported as follows:

Alcohol, Ethyl

Negative

gm/dL

Barbiturates

Negative

ng/mL

Flunitrazepam

Negative

ng/mL

Benzodiazepine

Negative

ng/mL

Ketamine

Negative

ng/mL

Gamma-Hydroxybutyric Acid

Negative

ug/mL

Critical Values:

Alcohol, Ethyl – High 0.300 gm/dL

Limitations:

Alcohol, Ethyl – reporting limit: 0.020 gm/dL

Gamma-Hydroxybutyric Acid reporting limit: 5.0 ug/mL

Methodology:

Ethyl Alcohol: Screen – Enzymatic method, Confirmation - Gas chromatography
All other drugs: Screen – Immunoassay, Confirmation – GC/MS

References:

MedTox Laboratories January 2015

Update:

5/6/210: CPT updates
2/8/2011: CPT updates
1/5/2015: CPT updates



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