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Test Code TGSU Targeted Gabapentinoid and Stimulant High-Resolution Accurate Mass Spectrometry Screen, Random, Urine


Additional Testing Requirements


In most cases, no additional testing is needed after the qualitative targeted stimulant test is performed if the parent drug or metabolites found are consistent with the patient's prescribed medications. However, if an unexpected stimulant is found, confirmatory testing can be requested at an additional charge.



Specimen Required


Supplies: Sarstedt Aliquot Tube 5 mL (T914)

Collection Container/Tube: Plastic urine container

Submission Container/Tube: Plastic vial

Specimen Volume: 1 mL

Collection Instructions:

1. Collect a random urine specimen.

2. No preservative


Useful For

Determining compliance or identifying illicit stimulant drug use

 

This test is not intended for employment-related testing.

Profile Information

Test ID Reporting Name Available Separately Always Performed
LPPS List prescribed stimulants No Yes
TSIM Gabapentinoid/Stim MS Screen, U No Yes

Method Name

Liquid Chromatography Tandem Mass Spectrometry, High-Resolution Accurate Mass (LC-MS/MS HRAM)

Reporting Name

Gabapentinoid/Stim HRMS Screen, U

Specimen Type

Urine

Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time
Urine Refrigerated (preferred) 14 days
  Frozen  28 days

Reference Values

Not detected (Positive results are reported with qualitative "Present" results)

 

Cutoff concentrations:

Methamphetamine: 100 ng/mL

Amphetamines: 100 ng/mL

3,4-Methylenedioxymethamphetamine (MDMA): 100 ng/mL

3,4-Methylenedioxy-N-ethylamphetamine (MDEA): 100 ng/mL

3,4-Methylenedioxyamphetamine (MDA): 100 ng/mL

Ephedrine: 100 ng/mL

Pseudoephedrine: 100 ng/mL

Phentermine: 100 ng/mL

Phencyclidine (PCP): 20 ng/mL

Methylphenidate: 20 ng/mL

Ritalinic acid: 100 ng/mL

Gabapentin: 500 ng/mL

Pregabalin: 500 ng/mL

Day(s) Performed

Monday through Sunday

Report Available

3 to 4 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

G0480

80326 (if appropriate for select payers)

Clinical Toxicology CPT Code Client Guidance

LOINC Code Information

Test ID Test Order Name Order LOINC Value
TGSU Gabapentinoid/Stim HRMS Screen, U 99107-5

 

Result ID Test Result Name Result LOINC Value
LPPS List prescribed stimulants 29305-0
624198 Methamphetamine 19554-5
624199 Amphetamine 19343-3
624200 3,4-methylenedioxymethamphetamine (MDMA) 19568-5
624201 3,4-methylenedioxy-N-ethylamphetamine (MDEA) 59844-1
624202 3,4-methylenedioxyamphetamine (MDA) 19565-1
624203 Ephedrine 99108-3
624204 Pseudoephedrine 99109-1
624205 Phentermine 19674-1
624206 Phencyclidine (PCP) 19659-2
624207 Methylphenidate 19577-6
624208 Ritalinic acid 99110-9
624209 Gabapentin 68439-9
624210 Pregabalin 105953-4
624211 Stimulant Interpretation 54247-2