Drug Detection Panel, Meconium, Qualitative
Test Mnemonic
MECDRG
CPT Codes
- 80346/G0480 - QTY (1)
- 80348/G0480 - QTY (1)
- 80353/G0480 - QTY (1)
- 80361/G0480 - QTY (1)
- 80356/G0480 - QTY (1)
- 80365/G0480 - QTY (1)
- 80373/G0480 - QTY (1)
- 80354/G0480 - QTY (1)
- 80362/G0480 - QTY (1)
- 80355/G0480 - QTY (1)
- 80359/G0480 - QTY (1)
- 80325/G0480 - QTY (1)
- 80360/G0480 - QTY (1)
- 80345/G0480 - QTY (1)
- 80372/G0480 - QTY (1)
- 80358/G0480 - QTY (1)
- 83992/G0480 - QTY (1)
- 80323/G0480 - QTY (1)
- 80368/G0480 - QTY (1)
Includes
- Buprenorphine
- Norbuprenorphine
- Naloxone
- Codeine
- Dihydrocodeine
- Fentanyl
- Hydrocodone
- Norhydrocodone
- Hydromorphone
- Meperidine
- Methadone
- Methadone metabolite
- 6-Acetylmorphine
- Morphine
- Methylphenidate
- Oxycodone
- Noroxycodone
- Oxymorphone
- Tapentadol
- Tramadol
- N-desmethyltramadol
- O-desmethyltramadol
- Gabapentin
- Amphetamine
- Benzoylecgonine
- m-OH-Benzoylecgonine
- Cocaethylene
- Cocaine
- MDMA (Ecstasy)
- Methamphetamine
- Phentermine
- Alprazolam
- Alpha-OH-Alprazolam
- Butalbital
- Clonazepam
- 7-Aminoclonazepam
- Diazepam
- Lorazepam
- Midazolam
- Alpha-OH-Midazolam
- Nordiazepam
- Oxazepam
- Phenobarbital
- Temazepam
- Zolpidem
- Phencyclidine (PCP)
- Mitragynine (Kratom)
Performing Laboratory
ARUP
Specimen Requirements
| Volume | Type | Container | Collect Temperature | Transport Temperature | Special Instructions |
|---|---|---|---|---|---|
| 4 g | Meconium | Clean container | Refrigerated | All meconium (blackish material) excreted until milk/formula based stool (yellow-green) appears. Transport all available meconium (4 g is preferred). |
Minimum Specimen Requirements
| Volume | Type | Container | Collect Temperature | Transport Temperature | Special Instructions |
|---|---|---|---|---|---|
| 2 g |
Stability
| Environmental Condition | Description |
|---|---|
| Refrigerated | 3 weeks |
| Frozen | 1 year |
| Ambient | 1 week |
Days Performed
Sun - Sat
Turnaround Time
2 - 4 days
Methodology
| Name | Description |
|---|---|
| Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) | |
| Qualitative Screen |
Special Info
Unknown fluids, pharmaceutical preparation and breast milk are unacceptable. Meconium received in or on diapers, cotton swabs, baby wipes, tongue depressors or bottles will be rejected. This test is New York DOH Approved.
Clinical Info
Detection of drugs in meconium is intended to reflect maternal drug use during approximately the last trimester of a full-term pregnancy. The pattern and frequency of drug(s) used by the mother cannot be determined by this test. A negative result does not exclude the possibility that a mother used drugs during pregnancy. Detection of drugs in meconium depends on the extent of maternal drug use, as well as drug stability, unique characteristics of drug deposition in meconium, and the performance of the analytical method. Drugs administered during labor and delivery may be detected. Detection of drugs in meconium does not insinuate impairment and may not affect outcomes for the infant. Interpretive questions should be directed to the laboratory. For medical purposes only; not valid for forensic use.