Purpose
Identification and Quantitation
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/mL 20 Anxiolytic, Sedative
2 Nordiazepam High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 20 Anxiolytic, Sedative
3 Oxazepam Serax® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 20 Anxiolytic, Sedative
4 Temazepam Normison®; Restoril® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 20 Anxiolytic, Sedative
5 Clobazam Frisium®; Urbanyl® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 20 Anxiolytic, Sedative
6 Chlordiazepoxide Librium® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 20 Anxiolytic, Sedative
7 Lorazepam Ativan® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 Anxiolytic, Tranquilizer
8 Clonazepam Klonopin® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 2 Anticonvulsant, Antiepileptic
9 7-Amino Clonazepam Clonazepam Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 Hypnotic, Sedative
10 Alprazolam Xanax® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 Anxiolytic, Sedative
11 Alpha-Hydroxyalprazolam Alprazolam Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 Anxiolytic, Sedative
12 Midazolam Versed® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 Anxiolytic, Sedative
13 Triazolam Halcion® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 2 Anxiolytic, Sedative
14 Hydroxytriazolam Triazolam Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 Anxiolytic, Sedative
15 Hydroxyethylflurazepam Flurazepam Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 Anxiolytic, Sedative
16 Desalkylflurazepam Flurazepam Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 Anxiolytic, Sedative
17 Flurazepam Dalmane® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 2 Anxiolytic, Sedative
18 Estazolam ProSom® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 5 Anxiolytic, Sedative

Test Also Known As
Libritabs®; Rivotril®
Specimen Type
Serum or Plasma
Requested Volume
1 mL
Minimum Volume
0.3 mL
Special Handling
Serum: Collect sample in Red top tube
Plasma: Collect sample in Lavender top tube (EDTA) or Pink top tube.
Promptly centrifuge and separate Serum or Plasma into a plastic screw capped vial using approved guidelines.
Specimen Container
Plastic container (preservative-free)

Additional Collection Instructions

Transport Temperature
Refrigerated
Light Protection
Not Required
Rejection Criteria
Received Room Temperature. Polymer gel separation tube (SST or PST).

Rejection criteria pertain to clinical specimen submissions only.

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

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