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Test Code UCOR9 CORDSTAT DRUG 9

Important Note

Follow Chain of Custody protocol.

Additional Codes

EPIC: LAB4944

Test Method

Immunoassay

Performance

Routine: 

  • Screen test negative results are reported the day the sample is received.
  • Screen test positive results are confirmed and reported in an additional 24-48 hours.

Specimen Requirement

A 6-8 inch section of umbilical cord is required.

Useful For

Detecting maternal drug use during pregnancy.

Reference Values

Negative for all constituents.

 

Cord samples have a window of detection for abused drugs equal to or greater than that provided by meconium. Studies done in assay development found a higher number of positive results in paired meconium/cord samples for methamphetamines and marijuana.

CPT Code Information

80307  Drug test(s), presumptive, any number of drug classes, any number of devices or procedures, by instrument chemistry analyzers (utilizing immunoassay, chromatography and mass spectrometry either with or without chromatography, includes sample validation when performed, per date of service.

LOINC Code Information

26895-3 Amphetamine

26956-3 Cocaine

26744-3 Opiate

26829-2 Phencyclidine

16246-1 Methadone

20411-5 Barbiturates

20412-3 Benzodiazepines

16242-0 Prophoxyphene

THC

 

Additional Specimen Collection Information

  1. Drain and discard any cord blood.
  2. Rinse the cord segment exterior with normal saline or an equivalent rinsing solution.
    Important: avoid any contact between ethanol liquid or vapor and the umbilical cord. Also, do not store cord in formalin.
  3. Pat the specimen dry, and place the umbilical cord segment into the specimen container.
  4. Place the name and id number on the USDTL requisition form and umbilical cord container.
  5. Sign the requisition form.
  6. Place the barcode sticker form the requisition form over the top of the matching umbilical cord container.
  7. Place the completed requisition form with tests ordered in the large pouch of the plastic specimen bag provided.
  8. Place the umbilical cor containter in the small pouch of the specimen bag, and seal the bag.
  9. Place the specimen bag in the cardboard box, close the box.
  10. Contact the courier for pickup.
  11. Umbilical cord specimens should be refrigerated in a secure area per Chain of Custody protocol until they are ready to be shipped. Transport at ambient temperature.
  12. Collection instruction video: 
    http://www.youtube.com/watch?v=VCnoAmzgkcY&feature=youtu.be