Test Summary Sheet for:

Purpose
Exclusion Screen
Method(s)
High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)
Suggested CPT Code(s)
80307
New York State Approval Status

Approved

Turnaround Time

4 days (If Positive: 7 days)

Test Includes
1 Dextrorphan / Levorphanol Levo-Dromoran® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 2 Narcotic Analgesic

Reflex Tests
Test Code Test Name
5117B Dextrorphan / Levorphanol Confirmation, Blood
Specimen Type
Blood
Requested Volume
2 mL
Minimum Volume
0.6 mL
Special Handling
None
Specimen Container
Gray top tube (Sodium Fluoride / Potassium Oxalate)

Additional Collection Instructions

Transport Temperature
Refrigerated
Light Protection
Not Required
Rejection Criteria
None

Rejection criteria pertain to clinical specimen submissions only.

Stability
Room Temperature: 29 day(s)
Refrigerated: 29 day(s)
Frozen (-20 °C): 29 day(s)
1 Dextrorphan / Levorphanol Levo-Dromoran® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 2 Narcotic Analgesic

Interface Map

LOINC® Information

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.