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Immediate Action New Tests and Test Updates Effective Date: Monday, August 26, 2013 New Tests and Test Updates Immediate Action In our continuing effort to provide you with the highest quality toxicology laboratory services available, we have compiled important changes regarding a number of tests we perform. Listed below are the types of changes that may be included in this notification, effective Monday, August 26, 2013 New Tests - Tests recently added to the NMS Labs test menu. New Tests are effective immediately. Test Changes - Tests that have had changes to the method/ CPT code, units of measurement, scope of analysis, reference comments, or specimen requirements. Discontinued Tests - Tests being discontinued with alternate testing suggestions. Please use this information to update your computer systems/records. These changes are important to ensure standardization of our mutual laboratory databases. If you have any questions about the information contained in this notification, please call our Client Support Department at (866) 522-2206. Thank you for your continued support of NMS Labs and your assistance in implementing these changes. The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. NMS Labs does not assume responsibility for billing errors due to reliance on the CPT Codes listed in this document. NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 1 of 76 Effective Date: Monday, August 26, 2013 New Tests and Test Updates Test Test Name New Test Method / Specimen Stability Scope Units Reference Discontinue Code Test Name CPT Code Req. Comments 7-Hydroxymitragynine, Mitragynine, Phenazepam 52381SP • Confirmation (Qualitative), Serum/Plasma Amphetamines Confirmation, 52370B • Blood Amphetamines Confirmation, 52409B • Blood (Forensic) Amphetamines Confirmation, 52370SP • Serum/Plasma Amphetamines Confirmation, 52409SP • Serum/Plasma (Forensic) Amphetamines Confirmation, 52370U • Urine Amphetamines Confirmation, 52409U • Urine (Forensic) Amphetamines 5223U Quantitation/Confirmation, Urine • (Forensic) Bath Salts Confirmation, Blood 52365B • (Forensic) Bath Salts Confirmation, 52365SP • Serum/Plasma (Forensic) Bath Salts Confirmation, Urine 52365U • (Forensic) Bath Salts and Stimulants 8756B Designer Drugs - Expanded, • • • Blood Bath Salts and Stimulants 8756SP Designer Drugs - Expanded, • • • Serum/Plasma Bath Salts and Stimulants 8756U Designer Drugs - Expanded, • Urine Cathinones Confirmation 1 52378B • (Qualitative), Blood Cathinones Confirmation 1 52378SP • (Qualitative), Serum/Plasma Cathinones Confirmation 1 52378U • (Qualitative), Urine Cathinones Confirmation 2 52379B • (Qualitative), Blood Cathinones Confirmation 2 52379SP • (Qualitative), Serum/Plasma Cathinones Confirmation 2 52379U • (Qualitative), Urine 52375B DMAA Confirmation, Blood • DMAA Confirmation, 52375SP • Serum/Plasma 52375U DMAA Confirmation, Urine • NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 2 of 76 Effective Date: Monday, August 26, 2013 New Tests and Test Updates Test Test Name New Test Method / Specimen Stability Scope Units Reference Discontinue Code Test Name CPT Code Req. Comments Drug Impaired Driving/DRE 54361B Methcathinone Confirmation, • Blood (Forensic) Drug Impaired Driving/DRE 54361SP Methcathinone Confirmation, • Serum/Plasma (Forensic) Drug Impaired Driving/DRE 54361U Methcathinone Confirmation, • Urine (Forensic) Drug Impaired Driving/DRE 54000B Toxicology Amphetamines • Confirmation, Blood (Forensic) Drug Impaired Driving/DRE Toxicology Amphetamines 54000SP • Confirmation, Serum/Plasma (Forensic) Drug Impaired Driving/DRE 54000U Toxicology Amphetamines • Confirmation, Urine (Forensic) Drug Impaired Driving/DRE 8074B Toxicology Hallucinogens Add- • • On, Blood (Forensic) Drug Impaired Driving/DRE 8074U Toxicology Hallucinogens Add- • • On, Urine (Forensic) Drug Impaired Driving/DRE Toxicology MDMA Confirmation 54323B • (Qualitative), Blood (Forensic) (CSA) Drug Impaired Driving/DRE Toxicology MDMA Confirmation 54326B • (Qualitative), Blood (Forensic) (CSA) Drug Impaired Driving/DRE Toxicology MDMA Confirmation 54323U • (Qualitative), Urine (Forensic) (CSA) Drug Impaired Driving/DRE Toxicology MDMA Confirmation 54326U • (Qualitative), Urine (Forensic) (CSA) Drug Impaired Driving/DRE Toxicology Piperazine Designer 54340B • Drugs Confirmation, Blood (Forensic) Drug Impaired Driving/DRE Toxicology Piperazine Designer 54340SP • Drugs Confirmation, Serum/Plasma (Forensic) NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 3 of 76 Effective Date: Monday, August 26, 2013 New Tests and Test Updates Test Test Name New Test Method / Specimen Stability Scope Units Reference Discontinue Code Test Name CPT Code Req. Comments Drug Impaired Driving/DRE Toxicology Piperazine Designer 54340U • Drugs Confirmation, Urine (Forensic) Drug Impaired Driving/DRE Toxicology Tramadol and 54128B • Metabolite Confirmation, Blood (Forensic) Drug Impaired Driving/DRE Toxicology Tramadol and 54128SP • Metabolite Confirmation, Serum/Plasma (Forensic) Drug Impaired Driving/DRE Toxicology Tramadol and 54128U • Metabolite Confirmation, Urine (Forensic) Hallucinogens Panel 2 52404B • Confirmation, Blood (Forensic) Hallucinogens Panel 2 52404SP Confirmation, Serum/Plasma • (Forensic) Hallucinogens Panel 2 52404U • Confirmation, Urine (Forensic) Hallucinogens Screen - 8755B • • Expanded, Blood Hallucinogens Screen - 8755SP • Expanded, Serum/Plasma Hallucinogens Screen - 8755U • • Expanded, Urine Hallucinogens and Stimulants 52382B Confirmation 1 (Qualitative), • Blood Hallucinogens and Stimulants 52382SP Confirmation 1 (Qualitative), • Serum/Plasma Hallucinogens and Stimulants 52382U Confirmation 1 (Qualitative), • Urine Hallucinogens and Stimulants 52383B Confirmation 2 (Qualitative), • Blood Hallucinogens and Stimulants 52383SP Confirmation 2 (Qualitative), • Serum/Plasma Hallucinogens and Stimulants 52383U Confirmation 2 (Qualitative), • Urine 2541B LSD Screen, Blood • 8334B LSD, Blood (Forensic) • MDMA / Methedrone 52377B • Confirmation (Qualitative), Blood NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 4 of 76 Effective Date: Monday, August 26, 2013 New Tests and Test Updates Test Test Name New Test Method / Specimen Stability Scope Units Reference Discontinue Code Test Name CPT Code Req. Comments MDMA / Methedrone 52412B Confirmation (Qualitative), Blood • (Forensic) MDMA / Methedrone 52377SP Confirmation (Qualitative), • Serum/Plasma MDMA / Methedrone 52412SP Confirmation (Qualitative), • Serum/Plasma (Forensic) MDMA / Methedrone 52377U • Confirmation (Qualitative), Urine MDMA / Methedrone 52412U Confirmation (Qualitative), Urine • (Forensic) Methcathinone (CAT) 53075B • Confirmation, Blood (Forensic) Methcathinone Confirmation 52430B • (Qualitative), Blood (Forensic) Methcathinone Confirmation 52430SP (Qualitative), Serum/Plasma • (Forensic) Methcathinone Confirmation 52430U • (Qualitative), Urine (Forensic) PMA Confirmation (Qualitative), 52432B • Blood (Forensic) PMA Confirmation (Qualitative), 52432SP • Serum/Plasma (Forensic) PMA Confirmation (Qualitative), 52432U • Urine (Forensic) Phenazepam Confirmation 52386B • (Qualitative), Blood Phenazepam Confirmation 52386SP • (Qualitative), Serum/Plasma Phenazepam Confirmation 52386U • (Qualitative), Urine Phenethylamines Confirmation 1 52384B • (Qualitative), Blood Phenethylamines Confirmation 1 52384SP • (Qualitative), Serum/Plasma Phenethylamines Confirmation 1 52384U • (Qualitative), Urine Phenethylamines Confirmation 2, 52385B • Blood Phenethylamines Confirmation 2, 52385SP • Serum/Plasma Phenethylamines Confirmation 2, 52385U • Urine Tramadol and Metabolite 53128B • Confirmation, Blood (Forensic) Tramadol and Metabolite 53128SP Confirmation, Serum/Plasma • (Forensic) NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 5 of 76 Effective Date: Monday, August 26, 2013 New Tests and Test Updates Test Test Name New Test Method / Specimen Stability Scope Units Reference Discontinue Code Test Name CPT Code Req. Comments Tramadol and Metabolite 53128U • Confirmation, Urine (Forensic) NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 6 of 76 Effective Date: Monday, August 26, 2013 New Tests and Test Updates Test Changes 52381SP 7-Hydroxymitragynine, Mitragynine, Phenazepam Confirmation (Qualitative), Serum/Plasma Summary of Changes: Reference Comment was changed. Scope of Analysis: LC-MS/MS (83788): Phenazepam, 7-Hydroxymitragynine, Mitragynine Method (CPT Code) Compound Name Units Reference Comment Phenazepam ng/mL Phenazepam is a benzodiazepine drug. It has CNS depressant properties and likely shares anticonvulsant, muscle relaxant and hypnotic effects with other benzodiazepines, although it has not been thoroughly characterized. It is not legally available in the United States, but is available in Europe. In spite of the fact that it is a CNS depressant it has been identified in some 'Bath Salts' type products. The drug is usually taken orally. 7-Hydroxymitragynine ng/mL 7-Hydroxymitragynine is an active metabolite of mitragynine and a natural alkaloid found in the Kratom plant. It is believed to have stimulant and analgesic properties. No serum or plasma concentration data are available. Mitragynine ng/mL Mitragynine is an alkaloid found in the plant Kratom which originates from Asia. The leaves of plant are consumed for their stimulant and analgesic effects and these effects are attributed to mitragynine. Plant extracts are sold for their medicinal use and may be subject
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