Sign in →

Test Code BUPRU Buprenorphine, Urine Screen with Reflex to Quantitation

Clinical Indications

Useful for general screening in contexts of compliance and/or abuse. A screen with reflex testing is the preferred method for ruling out buprenorphine exposure.

Additional Test Codes

Epic Order Name: BUPRENORPHINE, URINE SCREEN W/REFLEX TO QUANTITATION (aka BUPRU)
Sunquest Order Code: BUPRU
Epic Px Code: LAB6321

Specimen Collection Type

Random urine

Minimum Collection Volume

2.0 mL

Reference Range

Screen cutoff concentration: 5 ng/mL

Critical Value

n/a

Interpretation

The absence of expected drug(s) and/or drug metabolite(s) may indicate non-compliance, inappropriate timing of specimen collection relative to drug administration, poor drug absorption, diluted/adulterated urine, or limitations of testing. The concentration at which the screening test can detect a drug or metabolite varies. Specimens for which drugs or drug classes are detected by the screen are reflexed to a second, more specific technology (GC/MS and/or LC-MS/MS). The concentration value must be greater than or equal to the cutoff to be reported as positive. Interpretive questions should be directed to the laboratory.

For medical purposes only; not valid for forensic use.

Rejection Criteria

Unknown fluids, pharmaceutical preparations, and breast milk. Specimens exposed to repeated freeze/thaw cycles.

Specimen Availability for Add-on Testing

2 Days

Specimen Stability

Ambient (preferred): 1 week
Refrigerated: 1 month
Frozen: 3 years

Day(s) Performed

Monday through Sunday

Performing Lab - Department

TUKHS-BH-Mail Outs

CPT Code

80307; if reflexed, add 80348

LOINC Code

Screen, Urine Interpretation: 54247-2
Buprenorphine, Urn, Screen: 3415-7

Test Alias

Buprenex
Buprenorphine
Butrans
Glucuronide
Norbuprenorphine
Norbuprenorphine Glucuronide
Norspan
Suboxone
Temgesic
Vetergesic

Additional Information / Notes

If the specimen screens positive, then Confirmation/Quantitation by LC-MS/MS will be added to confirm result.