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.