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25536 Oxycodone and Metabolite, Serum/Plasma (45002)

Oxycodone and Metabolite, Serum/Plasma (45002)
Test Code: OXYSO
Synonyms/Keywords
​Oxycodone, Oxycontin, Oxymorphone, Percocet, Percodan, Tylox
Test Components
​Oxycodone, Oxycontin, Oxymorphone, Percocet, Percodan
Useful For
Therapeutic Drug Management
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
​No ​Serum ​Red Top Tube (RTT) ​10 mL ​3 mL ​
​No Plasma ​Green Top Tube (GTT) ​ ​10 mL 3 mL ​
Collection Processing Instructions

​Submit either serum or heparinzed plasma.

Transfer specimen to plastic transfer tube.

Specimen Stability Information
Specimen Type Temperature Time
​Serum ​ ​ ​Ambient ​3 days
​Refrigerated ​2 weeks
​Frozen ​6 months
​Plasma ​ ​ ​Ambient ​3 days
​Refrigerated ​2 weeks
​Frozen ​6 months
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Medtox ​Monday through Sunday ​5 days ​Liquid Chromatography/Tandem Mass Spectrometry (LC/MS-MS)
Reference Lab
Medtox Laboratories
Reference Range Information
Performing Location Reference Range
​Medtox ​Oxycodone: 10-100 ng/mL
 
Oxymorphone: 1-8 mg/mL
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
​80365 ​ ​ ​ ​
Synonyms/Keywords
​Oxycodone, Oxycontin, Oxymorphone, Percocet, Percodan, Tylox
Test Components
​Oxycodone, Oxycontin, Oxymorphone, Percocet, Percodan
Ordering Applications
Ordering Application Description
​Cerner​Oxycodone and Metabolites, Serum/Plasma
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
​No ​Serum ​Red Top Tube (RTT) ​10 mL ​3 mL ​
​No Plasma ​Green Top Tube (GTT) ​ ​10 mL 3 mL ​
Collection Processing

​Submit either serum or heparinzed plasma.

Transfer specimen to plastic transfer tube.

Specimen Stability Information
Specimen Type Temperature Time
​Serum ​ ​ ​Ambient ​3 days
​Refrigerated ​2 weeks
​Frozen ​6 months
​Plasma ​ ​ ​Ambient ​3 days
​Refrigerated ​2 weeks
​Frozen ​6 months
Useful For
Therapeutic Drug Management
Test Components
​Oxycodone, Oxycontin, Oxymorphone, Percocet, Percodan
Reference Range Information
Performing Location Reference Range
​Medtox ​Oxycodone: 10-100 ng/mL
 
Oxymorphone: 1-8 mg/mL
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Medtox ​Monday through Sunday ​5 days ​Liquid Chromatography/Tandem Mass Spectrometry (LC/MS-MS)
Reference Lab
Medtox Laboratories
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
​80365 ​ ​ ​ ​
For most current information refer to the Marshfield Laboratory online reference manual.