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Test ID: FSED
Sedative Hypnotic Panel, Urine-Forensic

Secondary ID A test code used for billing and in test definitions created prior to November 2011

91811

NY State Approved Indicates the status of NY State approval and if the test is orderable for NY State clients.

Yes

Method Name A short description of the method used to perform the test

Gas Chromatography/Flame Ionization Detection (GC-FID)

Gas Chromatography/Mass Spectrometry (GC/MS)

Reporting Name A shorter/abbreviated version of the Published Name for a test; an abbreviated test name

Sedative Hypnotic Panel, Urine

Aliases Lists additional common names for a test, as an aid in searching

Date Rape Panel FORWARD
Sedative Hypnotic Panel FORWARD

Specimen Type Describes the specimen type needed for testing

Urine

Specimen Required Defines the optimal specimen. This field describes the type of specimen required to perform the test and the preferred volume to complete testing. The volume allows automated processing, fastest throughput and, when indicated, repeat or reflex testing.

Random or spot urine collection, submit 10 mL of urine, shipped

refrigerate.

Note:   Submission of the minimum volume results in an elevated

                reporting limit and inability to repeat analysis.

Specimen Minimum Volume Defines the amount of specimen required to perform an assay once, including instrument and container dead space. Submitting the minimum specimen volume makes it impossible to repeat the test or perform confirmatory or perform reflex testing. In some situations, a minimum specimen volume may result in a QNS (quantity not sufficient) result, requiring a second specimen to be collected.

5 mL

Reject Due To Identifies specimen types and conditions that may cause the specimen to be rejected

Specimens other than

Urine

Anticoagulants other than

NA

Hemolysis

NA

Thawing

NA

Lipemia

NA

Icteric

NA

Specimen Stability Information Provides a description of the temperatures required to transport a specimen to the laboratory. Alternate acceptable temperature(s) are also included.

Specimen TypeTemperatureTime
UrineRefrigerated (preferred)
 Ambient 72 hours
 Frozen 

Reference Values Describes reference intervals and additional information for interpretation of test results. May include intervals based on age and sex when appropriate. Intervals are Mayo-derived, unless otherwise designated. If an interpretive report is provided, the reference value field will state this.

Ethyl Alcohol is screened by an enzymatic method; positive

results are confirmed by Gas Chromatography (GC).

Drugs are screened by Immunoassay; positive results are

confirmed by Gas Chromatography with Mass Spectrometry

(GC/MS). 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

Gamma-Hydroxybutyric Acid (GHB):  Negative

 

Test Performed By: Medtox Laboratories, Inc.

                                       402 W. County Road D

                                       St. Paul, MN  55112

Day(s) and Time(s) Test Performed Outlines the days and times the test is performed. This field reflects the day and time the sample must be in the testing laboratory to begin the testing process and includes any specimen preparation and processing time required before the test is performed. Some tests are listed as continuously performed, which means assays are performed several times during the day.

Monday through Sunday

Analytic Time Defines the amount of time it takes the laboratory to setup and perform the test. This is defined in number of days. The shortest interval of time expressed is "same day/1 day," which means the results may be available the same day that the sample is received in the testing laboratory. One day means results are available 1 day after the sample is received in the laboratory.

7 days

Maximum Laboratory Time Defines the maximum time from specimen receipt at Mayo Medical Laboratories until the release of the test result

9 - 10 days

Performing Laboratory Location The location of the laboratory that performs the test

Medtox Laboratories, Inc

CPT Code Information Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Medical Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.

80101/x3 single drug class method (eg, immunoassay, enzyme

                     assay), each drug class

82055/Ethyl alcohol

82491/gas chromatography

82541/ Column chromatography/mass spectrometry

G0431/Government payers (if appropriate)

80154/Benzodiazepines confirmation (if appropriate)

80154/Flunitrazepam confirmation (if appropriate)

82205/Barbiturates confirmation (If appropriate)

82542/GHB confirmation (if appropriate)

LOINC® Code Information Provides guidance in determining the Logical Observation Identifiers Names and Codes (LOINC) values for the result codes returned for this test or profile.

Result IDReporting NameLOINC Code
Z1101Alcohol, EthylIn Process
Z1102BarbituratesIn Process
Z1103FlunitrazepamIn Process
Z1104BenzodiazepinesIn Process
Z1105KetamineIn Process
Z1106Gamma-Hydroxybutyric Acid (GHB)In Process