Drug Monitoring, Cocaine Metabolite, with Confirmation, Urine

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The following is a list of what is included in the item above. Click the test(s) below to view what biomarkers are measured along with an explanation of what the biomarker is measuring.

Benzoylecgonine

Cocaine Metabolite

Medmatch Cocaine Metab

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The Drug Monitoring, Cocaine Metabolite, with Confirmation, Urine test contains 1 test with 3 biomarkers.

Drug Monitoring, Cocaine Metabolite, with Confirmation, Urine

Clinical Significance
Drug Monitoring, Cocaine Metabolite, with Confirmation, Urine - Cocaine is sometimes used clinically as a local anesthetic. More commonly however, it is used illicitly. Identification and verification of cocaine's metabolite benzoylecgonine in urine is most often used to show illicit use. The test is a screening assay using a homogeneous enzyme immunoassay method of analysis. Presumptive positive screen results are reflexed to a more specific and sensitive liquid chromatography mass spectroscopy (LC/MS/MS) methodology. Therapeutic urine drug monitoring of the cocaine is important for ensuring compliance to treatment strategies, as well as ensuring non-diversion for illicit purposes. Urine or oral fluid are the specimens of choice for routine monitoring of patients taking prescription drugs. Use of serum/plasma should be limited to anuretic patients, or where a patient's clinical appearance does not coincide with their prescribed medications. No single monitoring approach provides adequate information about the pattern or dose of patient drug use. Safest prescribing habits should include a combination of tools and laboratory test results to correctly detect drug use patterns. Urine drug test results equal to or greater than cutoff are reported as positive and results less than cutoff are reported as negative. Quantitative values cannot be used to assess the drug dose, because the drug is extensively metabolized and excreted in the urine.

Includes
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.
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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

Alternative Name(s)
Prescription Drug Monitoring,Pain Management

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