2019 Scarborough Urine Toxicology Guide

Individually Orderable Urine Drug Screening Assays

Click on any SCC test code for more information from the NorDx Test Catalog .
Please note that not all toxicology testing listed on this chart is available to inpatient and/or ambulatory providers.
Specific gravity, pH, creatinine, and oxidants will be performed and reported at no additional charge to identify potential adulteration of the urine specimen.
EPIC Lab
SCC Test Code Test Name Substances Eliciting a Positive (+) Result Reflex Testing Information
Code
INTENDED POSITIVES:
Amphetamine, dextroamphetamine, lisdexamfetamine (Adderall, Dexedrine,
DextroStat, LiQuadd, ProCentra, Vyvanse, Speed)
Benzphetamine (Didrex)
Methamphetamine (Desoxyn, Crank, Crystal, Ice, Meth) If the amphetamine screen is ≥ 500 ng/mL, the amphetamines
AMPHETAMINE SCREEN WITH GC-MS Methylenedioxyamphetamine (MDA), Methylenedioxymethamphetamine confirmation/quantitation by GC-MS is performed at an additional charge
AMPHE LAB10888 (Ecstasy, MDMA)
CONFIRMATION, URINE Phentermine (Adipex-P, Ionamin, Pro-Fast) (See Test Code: AMUR / UCAMP-MC).
POSSIBLE UNINTENDED POSITIVES:
Levmetamfetamine (Vicks vapor Inhaler)
Selegine (Eldepryl, Emsam, Zelapar)

INTENDED POSITIVES:
Amobarbital (Amytal)
Butalbital (Component of Esgic, Fioricet, Fiorinal, Phrenilin) If the barbiturate screen is ≥ 200 ng/mL, the barbiturate
Pentobarbital
BARBITURATE SCREEN WITH GC-MS Phenobarbital (Luminal, Solfoton) confirmation/quantitation by GC-MS is performed at an additional charge
BARBI LAB10889 Secobarbital (Seconal)
CONFIRMATION, URINE (See Test Code: BARUR / UCBAR-MC).
POSSIBLE UNINTENDED POSITIVES:
Mephobarbital (Mebaral)
Primidone (Mysoline)

INTENDED POSITIVES:
Alprazolam (Xanax)
Chlordiazepoxide (Librium, Librax)
Clonazepam (Klonopin) If the benzodiazepine screen is ≥ 200 ng/mL, the benzodiazepine
Clorazepate (Tranxene)
BENZODIAZEPINE SCREEN WITH LC- Diazepam (Diastat, Valium) confirmation/quantitation by LC-MS/MS is performed at an additional
BENZO LAB10890 Flunitrazepam (Rohypnol, Roofies)
MS/MS CONFIRMATION,URINE Flurazepam (Dalmane)
charge (See Test Code: BENUR / UCBEN-MC).
Lorazepam (Ativan)
Oxazepam (Serax)
Temazepam (Restoril)
Triazolam (Halcion)

BUPRENORPHINE SCREEN WITH LC- If the buprenorphine screen is ≥5 ng/mL (positive), buprenorphine
MS/MS CONFIRMATION, URINE INTENDED POSITIVES: confirmation/quantitation by LC-MS/MS is performed at an additional
BUPRE LAB10906 Buprenorphine (Suboxone, Subutex)
POSITIVE SCREEN REFLEXES charge (See Test Code: BUPMT / UCBUP-MC).
CONFIRMATION
BUPRENORPHINE SCREEN WITH LC-
If the buprenorphine screen is <5 ng/mL (negative), buprenorphine
MS/MS CONFIRMATION, URINE INTENDED POSITIVES:
BUPNG LAB11373 Buprenorphine (Suboxone, Subutex) confirmation/quantitation by LC-MS/MS is performed at an additional
NEGATIVE SCREEN REFLEXES
charge (See Test Code: BUPMT / UCBUP-MC).
CONFIRMATION
Screens for the presence of buprenorphine in urine by CEDIA at a cutoff
BUPRENORPHINE SCREEN ONLY, INTENDED POSITIVES:
BUPSC LAB10919 Buprenorphine (Suboxone, Subutex) concentration of 5 ng/mL.
URINE
Positive test results are presumptive and are not confirmed.
INTENDED POSITIVES: If the cocaine screen is ≥ 300 ng/mL, the cocaine confirmation/quantitation
COCAINE METABOLITE SCREEN WITH
COCMT LAB10891 Cocaine (Blow, Coke, Crack) by GC-MS is performed at an additional charge (See Test Code: COCUR /
GC-MS CONFIRMATION, URINE Cocaine metabolite
UCCOC-MC).
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 2019 Scarborough Urine Toxicology Guide
EPIC Lab
SCC Test Code Test Name Substances Eliciting a Positive (+) Result Reflex Testing Information
Code
ETHYL GLUCURONIDE SCREEN ONLY, Ethyl Glucuronide (EtG) is a direct metabolite of ethanol. Alcohol in urine is Screening assay only to detect ETG in urine.
ETGSC LAB20374 normally detected for only a few hours, where as EtG can be detected up to
URINE several days even after complete elimination of alcohol from the body. Positive test results are presumptive and are not confirmed.

Ethyl Glucuronide (EtG) is a direct metabolite of ethanol. Alcohol in urine is If the Ethyl Glucuronide screen is ≥ 500 ng/mL, the Ethyl Glucuronide
ETHYL GLUCURONIDE SCREEN WITH
ETGWC LAB20373 normally detected for only a few hours, where as EtG can be detected up to confirmation/quantitation by LC-MC/MS is performed at an additional
CONFIRMATION, URINE several days even after complete elimination of alcohol from the body.
charge. (See Test Code: ETYGQ / UCETG-MC)
If the Fentanyl screen is ≥ 2 ng/mL, the Fentanyl confirmation/quantitation
FENTANYL SCREEN WITH INTENDED POSITIVES:
FENTL LAB20318 Fentanyl and Norfentanyl by LC-MC/MS is performed at an additional charge (See Test Code: FNTUR /
CONFIRMATION, URINE
UCFNT-MC).
INTENDED POSITIVES: Screening assay to detect Fentanyl in urine.
FNTSC LAB20317 FENTANYL SCREEN ONLY, URINE Fentanyl and Norfentanyl
Positive test results are presumptive and are not confirmed.
Amphetamine
Methamphetamine
MDMA (Ecstasy) If the MDMA screen is ≥ 500 ng/mL, the amphetamines
MDMA (ECSTASY) SCREEN WITH GC-
MDMA LAB407 MDA (Ecstasy metabolite) confirmation/quantitation by GC-MS is performed at an additional charge
MS, CONFIRMATION, URINE Phentermine
Pseudoephedrine / Ephedrine (See Test Code: AMUR / UCAMP-MC).
Phenylpropanolamine

METHADONE AND METHADONE If the methadone screen is ≥ 300 ng/mL or the methadone metabolite
Methadone
METMB LAB10902 METABOLITE SCREEN WITH GC-MS Methadone metabolite screen is ≥ 1000 ng/mL, a methadone confirmation/quantitation by GC-MS is
CONFIRMATION, URINE performed at an additional charge (See Test Code: METHQ / UCMTH-MC).

INTENDED POSITIVES:
Codeine (Empirin w/codeine, Fioricet w/codeine, Tylenol w/codeine)
Heroin (Diacetylmorphine, Black tar, China white, [although could be fentanyl],
Junk, Mexican tar, Smack)
Hydrocodone (Anexsia, Co-Gesic, Ibudone, Lorcet, Lortab, Margesic, Norco,
Reprexin, Tussionex, Vicodin, Vicoprofen, Xodol, Zamicet, Zydone) If the opiate screen is ≥ 300 ng/mL, the opiates confirmation/quantitation by
OPIATE SCREEN WITH GC-MS Hydromorphone (Dilaudid, Exalgo)
OPIAT LAB10892 Morphine (Astramorph, Avinza, Duramorph, Kadian, MS, Contin, Oramorph, GC-MS is performed at an additional charge (See Test Code:OPUR / UCOPT-
CONFIRMATION, URINE Roxanol, RMS) MC).
Opium (Paregoric)
Oxycodone (Combunox, Endocet, Magnacet, OxyContin, Percocet, Primlev,
Roxicet, Roxicodone, Roxilox, Roxiprin, Tylox, Xolox)
Oxymorphone (Opana)

INTENDED POSITIVES: If the opiate screen is ≥ 100 ng/mL, the opiates confirmation/quantitation by
OXYCODONE SCREEN WITH GC-MS
OXYCO LAB10898 Oxycodone (Combunox, Endocet, Magnacet, Oxycontin, Percocet, Primlev, GC-MS is performed at an additional charge (See Test Code: OPUR / UCOPT-
CONFIRMATION, URINE Roxicet, Roxicodone, Roxilox, Roxiprin, Tylox, Xolox)
MC).
If the PCP screen is ≥ 25 ng/mL, the phencyclidine confirmation/quantitation
PHENCYCLIDINE (PCP) SCREEN WITH INTENDED POSITIVES:
PCP LAB10893 Phencyclidine (PCP, Angel Dust) by GC-MS is performed at an additional charge (See Test Code: PCPUR /
GC-MS CONFIRMATION, URINE
UCPCP-MC).

PROPOXYPHENE SCREEN WITH GC- Propoxyphene If the propoxyphene screen is ≥ 300 ng/mL, the major metabolite,
PROPX LAB10899 Darvocet-N
MS CONFIRMATION, URINE Darvon, Novrad norpropoxyphene, will be confirmed by GC-MS at an additional charge.

INTENDED POSITIVES: If the cannabinoid screen is ≥ 50 ng/mL, the tetrahydrocannabinol

TETRAHYDROCANNABINOL (THC)
THC LAB10894 Marijuana, Dronabinol confirmation/quantitation by GC-MS is performed at an additional charge
SCREEN WITH GC-MS, URINE Tetrahydrocannibinol (THC)
(See Test Code:THCUA / USTHC-MC).

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 2019 Scarborough Urine Toxicology Guide
Quantitative Confirmation Tests (LC-MS/GC-MS)
Click on any SCC / Reference Lab Test Code for more information from the NorDx Test Catalog .

SCC / RefLab EPIC Lab

Test Name Description
Test Code Code
AMUR / UCAMP- AMPHETAMINE, QUANTITATIVE, Confirmation for amphetamine, methamphetamine, Methylenedioxyamphetamine, Methylenedioxymethamphetamine and
LAB10187
MC URINE Methylenedioxyethlamphetamine.
BARUR / UCBAR-
LAB365 BARBITURATE, QUANTITATIVE, URINE Confirmation for identification of amobarbital, butabarbital, butalbital, pentobarbital, secobarbital, and phenobarbital.
MC
BENUR / UCBEN- BENZODIAZEPINE, QUANTITATIVE, Confirmation for presence of oxazepam, nordiazepam, temazepam, lorazepam, flurazepam (as 2-hydroxyethylflurazepam),
LAB368
MC URINE alprazolam (as alpha-hydroxy-alprazolam), clonazepam (as 7-aminoclonazepam).
BUPMT / UCBUP- BUPRENORPHINE,QUANTITATIVE,
LAB10903 Confirming presence of Buprenorphine and norbuprenorphine.
MC URINE
COCUR / UCCOC-
LAB10217 COCAINE, QUANTITATIVE, URINE Confirmation for major cocaine metabolite, benzoylecgonine.
MC

DXMTU / 790340- DEXTROMETHORPHAN (DM) AND

LAB20281 Detecting presence of dextromethorphan, an over-the-counter cough suppressant with abuse potential.
LC METABOLITE, QUANTITATIVE, URINE

ETYGQ / UCETG- ETHYL GLUCURONIDE,

LAB20375 Confirmation for identification of Ethyl Glucuronide and Ethyl Sulfate in urine.
MC QUANTITATIVE, URINE
FNTUR / UCFNT- FENTANYL AND METABOLITES,
LAB20316 Confirmation for Fentanyl and Norfentanyl.
MC QUANTITATIVE, URINE
METHL / 791170- METHYLPHENIDATE, QUANTITATIVE,
LAB20044 Detecting the presence of methylphenidate, a prescription stimulant drug.
LC URINE
METHQ / UCMTH-
LAB10959 METHADONE, QUANTITATIVE, URINE Compliance monitoring of methadone therapy in patients being treated for heroin addictions.
MC
OPUR / UCOPT-
LAB417 OPIATE, QUANTITATIVE, URINE Confirmation for morphine, codeine, hydrocodone, hydromorphone, oxycodone and oxymorphone.
MC
PCPUR / UCPCP- PHENCYCLIDINE (PCP),
LAB424 Confirmation for phencyclidine (PCP).
MC QUANTITATIVE, URINE
THCUA / USTHC- TETRAHYDROCANNABINOL (THC), Confirmation testing for THC (cannabinoids), 11-nor-9-carboxy-delta-9-THC, urine creatinine, ratio of THC metabolite to
LAB10337
MC QUANTITATIVE, URINE creatinine.
TRAMU / UCTRM- TRAMADOL AND METABOLITE, Confirming quantitative presence of Tramadol and O-desmethyl tramadol in urine.
LAB20282
MC QUANTITATIVE, URINE

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Toxicology Panels (1 of 3)
Click on any panel for more information from the NorDx Test Catalog .

Test Codes Profile Name Test Codes Profile Name

SCC: EPIC: SCC: EPIC:
TOXICOLOGY PROFILE, URINE TOXICOLOGY SCREEN, URINE
TXPRO LAB10896 TXSCR LAB10901
Screening Cutoff Screening Cutoff
Profile Components Reflex to Quantitative Confirmation Testing? Profile Components Reflex to Quantitative Confirmation Testing?
Concentration Concentration
Amphetamines 500 ng/mL Amphetamines 500 ng/mL
Barbiturates 200 ng/mL Barbiturates 200 ng/mL
Benzodiazepines 200 ng/mL Benzodiazepines 200 ng/mL
Cocaine 300 ng/mL Cocaine 300 ng/mL
Fentanyl 2 ng/mL Fentanyl 2 ng/mL
Methadone 300 ng/mL Methadone 300 ng/mL
YES, if screen is POSITIVE
Methadone Methadone NO
1000 ng/mL 1000 ng/mL
metabolite metabolite
Positive test results are confirmed and/or quantitated at an
MDMA 500 ng/mL MDMA 500 ng/mL Positive test results are presumptive and are not confirmed.
additional charge.
Opiates 300 ng/mL Opiates 300 ng/mL
Oxycodone 100 ng/mL Oxycodone 100 ng/mL
Phencyclidine (PCP) 25 ng/mL Phencyclidine (PCP) 25 ng/mL
Propoxyphene 300 ng/mL Propoxyphene 300 ng/mL
Tetrahydrocannabinol Tetrahydrocannabinol
50 ng/mL 50 ng/mL
carboxylic acid (THC) carboxylic acid (THC)

Test Codes Profile Name Test Codes Profile Name

SCC: EPIC: SCC: EPIC: TOX SCREEN UR + BENZODIAZEPINE QN NEG
TOX SCREEN UR + AMPHETAMINE QN NEG REFLEX TXBEN LAB20304 REFLEX
TXAMN LAB20303
Screening Cutoff Screening Cutoff
Profile Components Reflex to Quantitative Confirmation Testing? Profile Components Reflex to Quantitative Confirmation Testing?
Concentration Concentration

YES, if screen is NEGATIVE Amphetamines 500 ng/mL NO

Amphetamines 500 ng/mL A “Not Detected” amphetamine result will be confirmed if Barbiturates 200 ng/mL NO
detectable by GC-MS at an additional charge. YES, if screen is NEGATIVE
Barbiturates 200 ng/mL NO Benzodiazepines 200 ng/mL A “Not Detected” benzodiazepine result will be confirmed and
Benzodiazepines 200 ng/mL NO quantitated if detectable by LC-MS/MS at an additional charge.
Cocaine 300 ng/mL NO
Cocaine 300 ng/mL NO
Fentanyl 2 ng/mL NO
Fentanyl 2 ng/mL NO
Methadone 300 ng/mL NO Methadone 300 ng/mL NO
Methadone Methadone
1000 ng/mL NO 1000 ng/mL NO
metabolite metabolite
MDMA 500 ng/mL NO MDMA 500 ng/mL NO
Opiates 300 ng/mL NO Opiates 300 ng/mL NO
Oxycodone 100 ng/mL NO Oxycodone 100 ng/mL NO
Phencyclidine (PCP) 25 ng/mL NO Phencyclidine (PCP) 25 ng/mL NO
Propoxyphene 300 ng/mL NO Propoxyphene 300 ng/mL NO
Tetrahydrocannabinol Tetrahydrocannabinol
50 ng/mL NO 50 ng/mL NO
carboxylic acid (THC) carboxylic acid (THC)

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Toxicology Panels (2 of 3)
Click on any panel for more information from the NorDx Test Catalog .

Test Codes Profile Name Test Codes Profile Name

SCC: EPIC: TOXICOLOGY PROFILE WITH REFLEX TO
TOX SCREEN UR + OPIATE QN NEG REFLEX SCC: EPIC:
CONFIRMATION AND BUPRENORPHINE (NO
TXOPN LAB20305 TOXBU LAB20076
REFLEX), URINE
Screening Cutoff
Profile Components Reflex to Quantitative Confirmation Testing? Profile Components
Screening Cutoff
Reflex to Quantitative Confirmation Testing?
Concentration Concentration
Amphetamines 500 ng/mL NO Amphetamines 500 ng/mL YES, if screen is POSITIVE
Barbiturates 200 ng/mL NO Barbiturates 200 ng/mL YES, if screen is POSITIVE
Benzodiazepines 200 ng/mL NO Benzodiazepines 200 ng/mL YES, if screen is POSITIVE
Cocaine 300 ng/mL NO NO
Fentanyl 2 ng/mL NO This panel screens for the presence of buprenorphine (an opiate)
Buprenorphine 5 ng/mL
in urine by EIA at a cutoff concentration of 5ng/mL
Methadone 300 ng/mL NO
( screen only, no confirmation ).
Methadone Cocaine 300 ng/mL YES, if screen is POSITIVE
1000 ng/mL NO
metabolite Fentanyl 2 ng/mL YES, if screen is POSITIVE
MDMA 500 ng/mL NO Methadone 300 ng/mL YES, if screen is POSITIVE
YES, if screen is NEGATIVE Methadone
1000 ng/mL YES, if screen is POSITIVE
Opiates 300 ng/mL A “Not Detected” opiate result will be confirmed and metabolite
quantitated if detectable by GC-MS at an additional charge. MDMA 500 ng/mL YES, if screen is POSITIVE
Opiates 300 ng/mL YES, if screen is POSITIVE
Oxycodone 100 ng/mL NO
Oxycodone 100 ng/mL YES, if screen is POSITIVE
Phencyclidine (PCP) 25 ng/mL NO
Phencyclidine (PCP) 25 ng/mL YES, if screen is POSITIVE
Propoxyphene 300 ng/mL NO Propoxyphene 300 ng/mL YES, if screen is POSITIVE
Tetrahydrocannabinol Tetrahydrocannabinol
50 ng/mL NO 50 ng/mL YES, if screen is POSITIVE
carboxylic acid (THC) carboxylic acid (THC)

Test Codes Profile Name Test Codes Profile Name

SCC: EPIC: TOXICOLOGY PANEL WITH BUPRENORPHINE TOXICOLOGY PROFILE WITH REFLEX TO
SCC: EPIC:
CONFIRMATION AND A BUPRENORPHINE
TXPBU LAB11257 WITH REFLEX TO CONFIRMATION, URINE TXPBN LAB20077
NEGATIVE REFLEX, URINE
Screening Cutoff Screening Cutoff
Profile Components Reflex to Quantitative Confirmation Testing? Profile Components
Concentration
Reflex to Quantitative Confirmation Testing?
Concentration
Amphetamines 500 ng/mL YES, if screen is POSITIVE
Amphetamines 500 ng/mL Barbiturates 200 ng/mL YES, if screen is POSITIVE
Barbiturates 200 ng/mL Benzodiazepines 200 ng/mL YES, if screen is POSITIVE
Benzodiazepines 200 ng/mL
YES
Buprenorphine 5 ng/mL Buprenorphine 5 ng/mL A “Not Detected” buprenorphine result will be confirmed and
YES
Cocaine 300 ng/mL quantitated if detectable by LC-MS/MS at an additional charge.
Fentanyl 2 ng/mL
Positive test results are confirmed and/or quantitated at an Cocaine 300 ng/mL YES, if screen is POSITIVE
Methadone 300 ng/mL Fentanyl 2 ng/mL YES, if screen is POSITIVE
additional charge.
Methadone Methadone 300 ng/mL YES, if screen is POSITIVE
1000 ng/mL
metabolite Methadone
This panel also screens for the presence of buprenorphine (an 1000 ng/mL YES, if screen is POSITIVE
MDMA 500 ng/mL metabolite
opiate) in urine by EIA at a cutoff concentration of 5 ng/mL. MDMA 500 ng/mL YES, if screen is POSITIVE
Opiates 300 ng/mL
Positive buprenorphine results are confirmed and quantitated by Opiates 300 ng/mL YES, if screen is POSITIVE
Oxycodone 100 ng/mL
LC-MS/MS at an additional charge. Oxycodone 100 ng/mL YES, if screen is POSITIVE
Phencyclidine (PCP) 25 ng/mL
Phencyclidine (PCP) 25 ng/mL YES, if screen is POSITIVE
Propoxyphene 300 ng/mL Propoxyphene 300 ng/mL YES, if screen is POSITIVE
Tetrahydrocannabinol Tetrahydrocannabinol
50 ng/mL 50 ng/mL YES, if screen is POSITIVE
carboxylic acid (THC) carboxylic acid (THC)

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Toxicology Panels (3 of 3)
Click on any panel for more information from the NorDx Test Catalog.
Test Codes Profile Name
TOXICOLOGY PROFILE WITH REFLEX TO
SCC: EPIC:
CONFIRMATION AND BUPRENORPHINE SCREEN
TBUPR LAB20080
WITH CONFIRMATION, URINE
Screening Cutoff
Profile Components Reflex to Quantitative Confirmation Testing?
Concentration
Amphetamines 500 ng/mL YES, if screen is POSITIVE
Barbiturates 200 ng/mL YES, if screen is POSITIVE
Benzodiazepines 200 ng/mL YES, if screen is POSITIVE
YES

Buprenorphine 5 ng/mL ALL buprenorphine results will be confirmed and quantitated

(POSITIVE OR NEGATIVE SCREEN) if detectable by LC-MS/MS
at an additional charge.
Cocaine 300 ng/mL YES, if screen is POSITIVE
Fentanyl 2 ng/mL YES, if screen is POSITIVE
Methadone 300 ng/mL YES, if screen is POSITIVE
Methadone
1000 ng/mL YES, if screen is POSITIVE
metabolite
MDMA 500 ng/mL YES, if screen is POSITIVE
Opiates 300 ng/mL YES, if screen is POSITIVE
Oxycodone 100 ng/mL YES, if screen is POSITIVE
Phencyclidine (PCP) 25 ng/mL YES, if screen is POSITIVE
Propoxyphene 300 ng/mL YES, if screen is POSITIVE
Tetrahydrocannabinol
50 ng/mL YES, if screen is POSITIVE
carboxylic acid (THC)

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