Buprenorphine MAT1, Urine, Medication Assisted Treatment (MAT)
CPT:
80307
Special Instructions
This profile is designed for Suboxone™/buprenorphine medication assisted treatment. It is not intended for workplace testing and does not comply with state regulatory workplace testing programs.
Expected Turnaround Time
4 - 7 days
Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.
Specimen Requirements
Specimen
Urine (random)
Volume
10 mL
Minimum Volume
3 mL
Container
Plastic urine container or transfer tube without preservative
Storage Instructions
Submission/Transport (<3 days): Room temperature. For storage beyond three days, specimen should be refrigerated or frozen.
Stability Requirements
Temperature | Period |
|---|---|
Room temperature | 14 days |
Refrigerated | 14 days |
Frozen | 6 weeks |
Causes for Rejection
Insufficient volume; no ID on container; urine from preservative tube
Test Details
Use
This test is used to detect the presence of prescribed and illicit drugs for monitoring treatment of substance use disorder, including medication assisted treatment (MAT).
Methodology
Presumptive testing by immunoassay for buprenorphine at a testing threshold of 5 ng/mL; buprenorphine, norbuprenorphine, naloxone presumptive positives confirmed by definitive chromatography mass spectrometry (LC/MS-MS).
Initial presumptive testing by immunoassay at the following thresholds: alcohol biomarkers (EtG, EtS),500 ng/mL; amphetamines, 300 ng/mL; barbiturates, 200 ng/mL; benzodiazepines, 50 ng/mL; cocaine metabolite, 150 ng/mL; phencyclidine, 25 ng/mL; cannabinoids (THC), 20 ng/mL; heroin metabolite (6-AM), 10 ng/mL; opiates, 100 ng/mL; oxycodones, 100 ng/mL; tapentadol, 200 ng/mL; fentanyl, 2.0 ng/mL; methadone, 100 ng/mL; methadone mtb, 100 ng/mL; propoxyphene, 300 ng/mL; tramadol, 200 ng/mL; carisoprodol, 100 ng/mL; gabapentin, 1.0 ug/mL.
Definitive confirmation testing is not performed; contact laboratory if additional definitive testing is desired.
LOINC® Map
| Order Code | Order Code Name | Order Loinc | Result Code | Result Code Name | UofM | Result LOINC |
|---|---|---|---|---|---|---|
| 701957 | Buprenorphine MAT 1E, Ur | 701249 | BUPRENORPHINE IA | ng/mL | 3414-0 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701483 | ETHANOL MTB IA Scr Only | ng/mL | 58375-7 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701464 | AMPHETAMINES IA Scr Only | ng/mL | 19343-3 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701465 | BARBITURATES IA Scr Only | ng/mL | 19270-8 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701467 | BENZO CLASS IA Scr Only | ng/mL | 14316-4 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701468 | COCAINE MTB IA Scr Only | ng/mL | 42241-0 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701469 | PHENCYCLIDINE IA Scr Only | ng/mL | 19659-2 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701915 | CANNABINOIDS IA Scr Only | ng/mL | Pending | |
| 701957 | Buprenorphine MAT 1E, Ur | 701471 | 6-AM (HEROIN) IA Scr Only | ng/mL | 19321-9 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701472 | OPIATE CLASS IA Scr Only | ng/mL | 19295-5 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701473 | OXYCODONE IA Scr Only | ng/mL | 19642-8 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701475 | TAPENTADOL IA Scr Only | ng/mL | 72485-6 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701476 | FENTANYL IA Scr Only | ng/mL | 59673-4 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701477 | METHADONE IA Scr Only | ng/mL | 19550-3 | |
| 701957 | Buprenorphine MAT 1E, Ur | 702491 | METHADONE MTB IA Scr Only | ng/mL | 93495-0 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701478 | PROPOXYPHENE IA Scr Only | ng/mL | 19429-0 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701479 | TRAMADOL IA Scr Only | ng/mL | 19710-3 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701480 | CARISOPRODOL IA Scr Only | ng/mL | 21142-5 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701481 | GABAPENTINOIDS IA Scr Only | ug/mL | Pending | |
| 701957 | Buprenorphine MAT 1E, Ur | 701245 | Creatinine | mg/dL | 19150-2 | |
| 701957 | Buprenorphine MAT 1E, Ur | 701246 | Urine pH | 58400-3 | ||
| 701957 | Buprenorphine MAT 1E, Ur | 701328 | Nitrites | ug/mL | 32710-6 |
| Reflex Table for BUPRENORPHINE IA | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 701889 | Buprenorphine/Nalox,MS,Ur RFX | 701204 | Buprenorphine | ng/mg creat | 58360-9 |
| Reflex Table for BUPRENORPHINE IA | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 701889 | Buprenorphine/Nalox,MS,Ur RFX | 701205 | Norbuprenorphine | ng/mg creat | 58361-7 |
| Reflex Table for BUPRENORPHINE IA | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 701889 | Buprenorphine/Nalox,MS,Ur RFX | 701206 | N/B Ratio | N/A | |
| Reflex Table for BUPRENORPHINE IA | ||||||
|---|---|---|---|---|---|---|
| Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
| Reflex 1 | 701889 | Buprenorphine/Nalox,MS,Ur RFX | 701207 | Naloxone | ng/mg creat | 77207-9 |
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