Spreadsheet: d0615841-8a33-4bfe-9b34-96252beb3df6
Sheet: Sheet1

Test Referenced | Entry Type | Mayo ID | Description | Reporting Description | Method | Collection Container | Temperature | Stability | [NAME] | Unit of Measure | [NAME] | Minimum Volume | Reject Due To | Reference Values | Days/Times Performed | Analytic Time | Maximum Lab Time | CPT Units | CPT Code | LOINC® Code | LOINC® Attributes | Always Performed | Orderable Separately | Performing Location
FSED | Test | FSED | Sedative Hypnotic Panel, Urine-Forensic | Sedative Hypnotic Panel, [NAME] | Gas Chromatography/Flame Ionization Detection (GC-FID) |  |  |  | 10 | mL | Collect 10 mL random urine without preservatives. Ship refrigerated in a plastic container. | 5 mL | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	NA | Ethyl Alcohol is screened by an enzymatic method; positive results are confirmed by Gas Chromatography (GC). Drugs are screened by Immunoassay; positive results are confirmed by Gas Chromatography with Mass Spectrometry (GC/MS). The following threshold concentrations are used for this analysis:  Drug			Screening Threshold		Confirmation Threshold Ethyl Alcohol		0.020 gm/dL			0.020 gm/dL [NAME]		300 ng/mL			100 ng/mL Benzodiazepines	100 ng/mL			75 ng/mL Flunitrazepam		100 ng/mL			300 ng/mL Ketamine Gamma-Hydroxybutyric Acid (GHB): Negative ug/mL  Test Performed by:	Medtox Laboratories, Inc.  			402 W. County Road D 			St. Paul, MN55112 | Monday through Sunday | 7 days | 9 - 10 days |  | Profile |  |  |  |  | Medtox Laboratories, Inc.
FSED | [NAME] | URINE | [NAME] |  |  |  | Refrigerated | 14 days
FSED | Result | Z1101 | Alcohol, [NAME] | Alcohol, [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FSED | Result | Z1102 | Barbiturates | Barbiturates | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FSED | Result | Z1103 | Flunitrazepam | Flunitrazepam | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FSED | Result | Z1104 | Benzodiazepines | Benzodiazepines | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FSED | Result | Z1105 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FSED | Result | Z1106 | Gamma-Hydroxybutyric Acid (GHB) | Gamma-Hydroxybutyric Acid (GHB) | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FSED | Billing Component | FSED |  | Column chromatography |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 82541
FSED | Billing Component | FSED |  | Chromatography, quantitative, column |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 82491
FSED | Billing Component | FSED |  | Alcohol (ethanol) |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 82055
FSED | Billing Component | FSED |  | single drug class method |  |  |  |  |  |  |  |  |  |  |  |  |  | 3 | 80101
FSED | [NAME] | FMETA | Alcohol, Ethyl-urine | Ethyl Alcohol Confirmation, UR | Enzymatic; Spectrophotometry; Gas Chromatography/ Flame Ionization Detection (GC-FID) Only orderable as a reflex from FSED |  |  |  |  |  | Only orderable as a reflex from FSED |  | Hemolysis	 Thawing	 Lipemia	 Icterus	 Other | Ethyl Alchohol:	g/dL  Test Performed by:	Medtox Laboratories, Inc.  			402 W. County Road D 			St. Paul, MN 55112 |  | 7 days | 9 - 11 days |  |  |  |  | No | No
FMETA | [NAME] | URINE | [NAME] |  |  |  | Refrigerated | 14 days
FMETA | Result | Z3561 | Ethyl Alcohol | Ethyl Alcohol | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FSED | [NAME] | FBARB | Barbiturate Confirmation, Quantitative, [NAME] | Barbiturate Confirmation, UR | Gas Chromatography with Mass Spectrometry (GC/MS) Only orderable as a reflex from FSED |  |  |  |  |  | Only orderable as a reflex from FSED |  | Hemolysis	 Thawing	 Lipemia	 Icterus	 Other | Amobarbital:	ng/mL Pentobarbital:	ng/mL Secobarbital:	ng/mL Butabarbital:	ng/mL Butalbital:	ng/mL Phenobarbital:	ng/mL  Quantitative Barbiturate screen includes: Amobarbital, Thiopental, Pentobarbital, Seconbarbital, Butalbital, Butabarbital and Phenobarbital.  Test Performed by:	Medtox Laboratories, Inc.  			402 W. County Road D 			St. Paul, MN 55112 |  | 7 days | 9 - 11 days |  |  |  |  | No | No
FBARB | [NAME] | URINE | [NAME] |  |  |  | Refrigerated | 14 days
FBARB | Result | Z3296 | Amobarbital | Amobarbital | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBARB | Result | Z3297 | Pentobarbital | Pentobarbital | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBARB | Result | Z3299 | Secobarbital | Secobarbital | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBARB | Result | Z3301 | Butabarbital | Butabarbital | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBARB | Result | Z3300 | Butalbital | Butalbital | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBARB | Result | [NAME] | Phenobarbital | Phenobarbital | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FSED | [NAME] | FFTZU | Flunitrazepam (Rohypnol) Confirmation, [NAME] | Flunitrazepam ([NAME]), [NAME] | Gas Chromatography/Mass Spectrometry (GC/MS) Only orderable as a reflex from FSED |  |  |  |  |  | Only orderable as a reflex from FSED |  | Hemolysis	 Thawing	 Lipemia	 Icterus	 Other | Flunitrazepam:		ng/mL 7-Aminoflunitrazepam:	ng/mL   Flunitrazepam Confirmation includes Flunitrazepam and 7-Aminoflunitrazepam at a threshold concentration of 10 ng/mL.   Test Performed by:	Medtox Laboratories, Inc.  			402 W. County Road D 			St. Paul, MN 55112 |  | 7 days | 9 - 11 days |  |  |  |  | No | No
FFTZU | [NAME] | URINE | [NAME] |  |  |  | Refrigerated | 14 days
FFTZU | Result | Z3292 | Flunitrazepam | Flunitrazepam | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FFTZU | Result | Z3293 | 7-Aminoflunitrazepam | 7-Aminoflunitrazepam | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FSED | [NAME] | FBENU | Benzodiazepine Confirmation, Quantitative, [NAME] | Benzodiazepine Confirmation, UR | Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS). Only orderable as a reflex from FSED |  |  |  |  |  | Only orderable as a reflex from FSED |  | Hemolysis	 Thawing	 Lipemia	 Icterus	 Other | Diazepam:			ng/mL Desmethyldiazepam:		ng/mL Oxazepam:			ng/mL Temazepam:			ng/mL Alprazolam:			ng/mL Alpha-oh-Alprazolam:		ng/mL Desalkylflurazepam:		ng/mL Lorazepam:			ng/mL Alpha-Hydroxytriazolam:	ng/mL 7-Aminoclonazepam:		ng/mL [NAME]:			ng/mL   Quantitative Benzodiazepine Screen includes: Diazepam, Desmethyldiazepam, Oxazepam, Temazepam, [NAME], Alpha-Hydroxyalprazolam, Desalkylflurazepam, Lorazepam, Alpha-Hydroxytriazolam, 7-Aminoclonazepam, and [NAME].    Test Performed by:	Medtox Laboratories, Inc.  			402 W. County Road D 			St. Paul, MN 55112 |  | 7 days | 9 - 11 days |  |  |  |  | No | No
FBENU | [NAME] | URINE | [NAME] |  |  |  | Refrigerated | 14 days
FBENU | Result | Z3303 | Diazepam | Diazepam | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBENU | Result | [NAME] | Desmethyldiazepam | Desmethyldiazepam | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBENU | Result | Z3305 | Oxazepam | Oxazepam | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBENU | Result | Z3306 | Temazepam | Temazepam | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBENU | Result | Z3307 | Alprazolam | Alprazolam | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBENU | Result | Z3308 | Alpha-oh-Alprazolam | Alpha-oh-Alprazolam | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBENU | Result | Z3309 | Desalkylflurazepam | Desalkylflurazepam | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBENU | Result | Z3310 | Lorazepam | Lorazepam | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBENU | Result | Z3311 | Alpha-Hydroxytriazolam | Alpha-Hydroxytriazolam | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBENU | Result | [NAME] | 7-Aminoclonazepam | 7-Aminoclonazepam | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBENU | Result | Z3313 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process