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Oxycodone and metabolite, serum or plasma-1443

Test info

Test name:

Oxycodone and metabolite, serum or plasma

Test number:

1443

Excellian order number:

LAB1443

Abbreviation:

OXYS

Alternate names:

Oxycodone
Oxycontin
Oxymorphone
Percocet
Percodan

Tests included:

Oxycodone
Oxymorphone

Useful for:

Therapeutic drug management

Specimen

Specimen type:

Serum

Collection container:

Red serum vial/tube - 5 mL

Volume:

10 mL

Minimum volume:

3 mL

Processing instructions:

Allow sample to clot
Spin within two (2) hours of sample collection
Transfer serum to a Serum/plasma transfer vial/tube (MedTox), labelled as serum

Transport container:

Serum/plasma transfer vial/tube (MedTox)

Alternate specimen type:

Heparin plasma

Alternate collection container:

Dk green heparin (Li or Na), no gel

Alternate collection instructions:

Immediately following collection, mix sample by inverting 5 - 10 times to prevent clotting.

Alternate processing instructions:

Spin within two (2) hours of sample collection
Transfer plasma to a Serum/plasma transfer vial/tube (MedTox), labelled as the appropriate plasma type

Transport and stability:

Refrigerated (preferred)

Ambient (OK) - 3 days

Frozen (OK)

Reason for rejection:

Gel-barrier tubes are not recommended

Performance

Performing lab:

MedTox Laboratories (45002): R-MX

Days set up:

Daily

TAT:

5 - 6 days

Method:

Liquid chromatography/tandem mass spectrometry (LC/MS-MS)

Clinical and Interpretive info

Reference ranges:

Oxycodone: 10 - 100 ng/mL

Oxymorphone: 1 - 8 ng/mL

Billing

CPT codes:

G0480

Subject to medical necessity (Y/N):

Yes

LCD/NCD:

Medical necessity

Tracking

Date created:

12/20/2005

Revised date:

12/28/2023

Review date:

12/28/2023