Method(s)
High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)
Suggested CPT Code(s)
80339
80347
New York State Approval Status

Approved

Turnaround Time

5 days

Test Includes
1 Diazepam Valium® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 40 Anxiolytic, Sedative
2 Nordiazepam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 40 Anxiolytic, Sedative
3 Oxazepam Serax® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 40 Anxiolytic, Sedative
4 Temazepam Restoril® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 40 Anxiolytic, Sedative
5 Clobazam Frisium®; Urbanyl® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 40 Anxiolytic, Sedative
6 Chlordiazepoxide Librium® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 40 Anxiolytic, Sedative
7 Lorazepam Ativan® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 20 Anxiolytic, Tranquilizer
8 7-Amino Clonazepam Clonazepam Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 10 Hypnotic, Sedative
9 Alprazolam Xanax® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 10 Anxiolytic, Sedative
10 Alpha-Hydroxyalprazolam Alprazolam Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 20 Anxiolytic, Sedative
11 1-Hydroxymidazolam Midazolam Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 10 Anxiolytic, Sedative
12 Hydroxytriazolam Triazolam Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 10 Anxiolytic, Sedative
13 Hydroxyethylflurazepam Flurazepam Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 10 Anxiolytic, Sedative
14 Desalkylflurazepam Flurazepam Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 10 Anxiolytic, Sedative
15 Estazolam ProSom® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 10 Anxiolytic, Sedative

Compliance Statement
This test was developed and its performance characteristics determined by NMS Labs. It has not been cleared or approved by the US Food and Drug Administration.
Sample Type
Meconium
Requested Volume
5 g
Minimum Volume
5 g
Special Handling
Collect at least 5 grams, approximately 1 tablespoon, of the black- tarry Meconium sample and place into a clean 40 mL polyethylene bottle. The sample may be combined several times from each evacuation up to approximately 72 hours or when the sample starts to turn yellowish-green.
Sample Container
Plastic container (preservative-free)

Additional Collection Instructions

Transport Temperature
Refrigerated
Light Protection
Not Required
Rejection Criteria
None

Rejection criteria pertain to clinical sample submissions only.

Stability
Room Temperature: Undetermined
Refrigerated: Undetermined
Frozen (-20 °C): Undetermined

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.