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

Approved

Turnaround Time

4 days

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

Test Also Known As
Libritabs®
Specimen 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.
Specimen Container
Plastic container (preservative-free)

Additional Collection Instructions

Transport Temperature
Refrigerated
Light Protection
Not Required
Rejection Criteria
None

Rejection criteria pertain to clinical specimen submissions only.

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

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