Test Directory

Test Code
PPTHC
Test Name
Cannabinoid, Quantitative, Pain Management, Urine
CPT Codes
AMA 80349, CMS G0480
Expected Turnaround Time
1 - 5 days
Clinical Utility

Useful in determining the use or abuse of Tetrahydrocannabinol (THC) in urine compliance monitoring for pain management. This test does not differentiate between delta-8 and delta-9 carboxy THC isomers

Testing includes identification and quantitation of:

  • Carboxy-THC (THC Metabolite)
Specimen and Container Info

Preferred Specimen Type: Urine

Preferred Collection Container: Plastic Urine Container (Preservative Free)

Desired Specimen Volume: 10 mL

Processing and Submission Instructions
  • If using paper requisition, submit specimen with a completed Pain Management Drug Testing Request (HNL-56).
  • Interpretation is dependent on completing the prescribed medication history section at the bottom of the form.
  • List only the medications taken within the last 2-3 days.
Transport Instructions

Transport to the laboratory refrigerated.

Stability Requirements

Room Temperature

 7 Days

Refrigerated

7 Days 

Causes for Rejection

Urine specimens received in tubes containing preservatives will be rejected.

Methodology
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Reference Intervals

Interpretation and concentration of drug/metabolite in urine is dependent on dose, time of dose, metabolic rate, and hydration state.

Limitations

Analyte

Cutoff Concentration (ng/mL)

Carboxy-THC

15

Performing Location
Roble Road Core Laboratory
Alternate Names
  • THC
  • Marijuana
  • Pot
  • Weed
  • Grass
  • MaryJane
  • Marinol
Testing Schedule
Routine, 5 times per week