10 Panel Drug Test with Confirmation

The 10 Panel Drug Test with Confirmation panel contains 9 tests with 45 biomarkers.

Brief Description: The 10 Panel Drug Test with Confirmation is a comprehensive drug screening tool specifically designed not only to detect the presence of various drugs or their metabolites in urine but also to verify those results with a secondary, more specific test, ensuring accuracy. This two-tiered approach first identifies potential drug markers and then confirms them, providing a robust and reliable analysis.

Collection Method: Urine Collection

Specimen Type: Urine

Test Preparation: No preparation required

When and Why the 10 Panel Drug Test with Confirmation May Be Ordered

The 10 Panel Drug Test with Confirmation can be ordered in several scenarios:

1. Employment Screening: While some employers are satisfied with a basic drug panel, others may require a confirmation test to ensure the utmost accuracy, particularly for roles that involve critical decision-making or safety-sensitive tasks.

2. Legal and Forensic Applications: In legal cases, where evidence may be presented in court or used to inform judicial decisions, the accuracy provided by confirmation testing can be paramount.

3. Medical Evaluations: For patients exhibiting symptoms that might be drug-related, a confirmed drug test can provide clarity in diagnosis and subsequent treatment.

4. Rehabilitation Monitoring: For individuals on a path to recovery, ensuring that they remain abstinent is crucial. Confirmation tests provide added certainty in these cases.

5. Accidents or Incidents: In scenarios where drug impairment might be a factor, such as vehicle accidents or workplace incidents, the confirmation test offers an additional layer of evidence.

What the 10 Panel Drug Test with Confirmation Checks For

The 10 Panel Drug Test with Confirmation tests for a range of substances, and then, when initial tests are positive, utilizes a second method to confirm the presence of these drugs:

• Amphetamines: Initially screens for the class, and then specifically tests for Amphetamine and Methamphetamine if the initial screen is positive.

• Marijuana Metabolite: Screens for general cannabis use and then confirms the specific presence of the Marijuana Metabolite.

• Cocaine Metabolite: Initial detection followed by specific confirmation for Benzoylecgonine, the primary cocaine metabolite.

• Opiates: Tests for the broader category and then confirms the presence of specific opiates like Codeine, Hydrocodone, Hydromorphone, Morphine, and Norhydrocodone.

• Phencyclidine (PCP): General screening followed by a confirmation test for Phencyclidine.

• Barbiturates: After an initial positive result, confirmation testing for specific barbiturates like Amobarbital, Butalbital, Pentobarbital, Phenobarbital, and Secobarbital is performed.

• Benzodiazepines: The panel first detects this drug class, and then, if positive, confirms the specific type, whether it be Alphahydroxyalprazolam, Alphahydroxymidazolam, Alphahydroxytriazolam, Aminoclonazepam, Hydroxyethylflurazepam, Lorazepam, Nordiazepam, Oxazepam, or Temazepam.

• Methadone Metabolite: An initial screening for methadone use is followed by confirmation testing for both EDDP, its primary metabolite, and Methadone itself.

• Propoxyphene: This test first screens for the drug, then confirms its presence by testing for its metabolite, Norpropoxyphene.

The advantage of this panel lies in its dual-step approach. While initial screenings are sensitive and can detect potential drug use, the confirmation tests are specific and can accurately identify and quantify the presence of the drug, reducing the chances of false positives.

Confirmation Testing

• Initial screen of the Amphetamines drug class. If screen is positive, a confirmation will be performed at an additional charge (CPT code(s): 80324; HCPCS: G0480). Confirmation includes the following analytes: Amphetamine, Methamphetamine
• Initial screen of the Marijuana Metabolite drug class. If screen is positive, a confirmation will be performed at an additional charge (CPT code(s): 80349; G0480). Confirmation includes the following analytes: Marijuana Metabolite
• Initial screen of the Cocaine Metabolite drug class. If screen is positive, a confirmation will be performed at an additional charge (CPT code(s): 80353; HCPCS: G0480). Confirmation includes the following analytes: Benzoylecgonine
• Initial screen of the Opiates drug class. If screen is positive, a confirmation will be performed at an additional charge (CPT code(s): 80361; G0480). Confirmation includes the following analytes: Codeine, Hydrocodone, Hydromorphone, Morphine, Norhydrocodone
• Initial screen of the Phencyclidine drug class. If screen is positive, a confirmation will be performed at an additional charge (CPT code(s): 83992; HCPCS: G0480). Confirmation includes the following analytes: Phencyclidine
• Initial screen of the Barbiturates drug class. If screen is positive, a confirmation will be performed at an additional charge (CPT code(s): 80345; HCPCS: G0480). Confirmation includes the following analytes: Amobarbital, Butalbital, Pentobarbital, Phenobarbital, Secobarbital
• Initial screen of the Benzodiazepines drug class. If screen is positive, a confirmation will be performed at an additional charge (CPT code(s): 80346; HCPCS: G0480). Confirmation includes the following analytes: Alphahydroxyalprazolam, Alphahydroxymidazolam, Alphahydroxytriazolam, Aminoclonazepam, Hydroxyethylflurazepam, Lorazepam, Nordiazepam, Oxazepam, Temazepam
• Initial screen of the Methadone Metabolite drug class. If screen is positive, a confirmation will be performed at an additional charge (CPT code(s): 80358; HCPCS: G0480). Confirmation includes the following analytes: EDDP, Methadone.
• Initial screen of the Propoxyphene drug class. If screen is positive, a confirmation will be performed at an additional charge (CPT code(s): 80367; HCPCS: G0480). Confirmation includes the following analytes: Norpropoxyphene

Reference Ranges

• Amphetamines    <500 ng/mL
  • Amphetamine    <250 ng/mL
  • Methamphetamine    <250 ng/mL
• Marijuana Metabolite    <20 ng/mL
  • Marijuana Metabolite    <5 ng/mL
• Cocaine Metabolite    <150 ng/mL
  • Benzoylecgonine    <100 ng/mL
• Opiates    <100 ng/mL
  • Codeine    <50 ng/mL
  • Hydrodcodone    <50 ng/mL
  • Hydromorphone    <50 ng/mL
  • Morphine    <50 ng/mL
  • Norhydrocodone    <50 ng/mL
• Phencyclidine    <25 ng/mL
  • Phencyclidine    <25 ng/mL
• Barbiturates    <300 ng/mL
  • Amobarbital    <100 ng/mL
  • Butalbital    <100 ng/mL
  • Pentobarbital    <100 ng/mL
  • Phenobarbital    <100 ng/mL
  • Secobarbital    <100 ng/mL
• Benzodiazepines    <100 ng/mL
  • Alphahydroxyalprazolam    <25 ng/mL
  • Alphahydroxymidazolam    <50 ng/mL
  • Alphahydroxytriazolam    <50 ng/mL
  • Aminoclonazepam    <25 ng/mL
  • Hydroxyethylflurazepam    <50 ng/mL
  • Lorazepam    <50 ng/mL
  • Nordiazepam    <50 ng/mL
  • Oxazepam    <50 ng/mL
  • Temazepam    <50 ng/mL
• Methadone Metabolite    <100 ng/mL
  • EDDP    <100 ng/mL
  • Methadone    <100 ng/mL
• Propoxyphene    <300 ng/mL
  • Norpropoxyphene    <200 ng/mL

If you require medMATCH for this order code, you must also order code 39158 - Prescribed Drugs, medMATCH®. If 39158 is ordered, all Drug Monitoring order codes will be treated as medMATCH.
 
If this test code is not ordered with 39158, all medMATCH result codes will be DNR’d.