Test Updates

Home , Acepromazine, Allobarbital, Alphenal, Aprobarbital, Chlorphentermine, Cinnarizine

Effective Date: Monday, October 10, 2016 Test Updates

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, October 10, 2016

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 24 Effective Date: Monday, October 10, 2016 Test Updates

Test Test Name Test Method / Specimen Stability Scope Units Reference Discontinue Code Name CPT Code Req. Comments

DUID/DRE Expanded Drug Screen Add- 8075U • On, Urine (Forensic) DUID/DRE Panel, Blood (Forensic) 10010B • (CSA) - IN State Tox Lab DUID/DRE Panel, Blood (Forensic) 10024B • (CSA) - IN State Tox Lab DUID/DRE Panel, Blood (Forensic) 10041B • (CSA) - NC SCL DUID/DRE Panel, Urine (Forensic) (CSA) 10010U • - IN State Tox Lab DUID/DRE Panel, Urine (Forensic) (CSA) 10024U • - IN State Tox Lab 8098B Drug Screen (GC/MS), Blood • 8098U Drug Screen (GC/MS), Urine • 1876B Drug Screen - Expanded, Blood • 1876FL Drug Screen - Expanded, Fluid • 1876SP Drug Screen - Expanded, Serum/Plasma • 1876U Drug Screen - Expanded, Urine • Drug-Facilitated Sexual Assault Screen, 1450SP • Serum/Plasma (Forensic) Drug-Facilitated Sexual Assault Survey 2, 1452B • Blood (Forensic) Drug-Facilitated Sexual Assault Survey 2, 1452U • Urine (Forensic) GC/MS Drug Screen (Acid/Neutral), 1860B • Blood (Forensic) Postmortem Toxicology - SIDS Screen, 4177TI • Tissue (Forensic) Postmortem Toxicology - SIDS Screen, 4177U • Urine (Forensic) Postmortem, Basic to Expanded 8063B • Upgrade, Blood (Forensic) Postmortem, Basic to Expanded 8063FL • Upgrade, Fluid (Forensic) Postmortem, Basic to Expanded 8063SP • Upgrade, Serum/Plasma (Forensic) Postmortem, Basic to Expanded 8063TI • Upgrade, Tissue (Forensic) Postmortem, Basic to Expanded 8063U • Upgrade, Urine (Forensic) Postmortem, Basic w/Vitreous Alcohol 8041B • Confirmation, Blood (Forensic) Postmortem, Basic w/o Alcohol, Blood 8061B • (Forensic) 8061TI Postmortem, Basic w/o Alcohol, Tissue • Postmortem, Basic w/o Alcohol, Urine 8061U • (Forensic)

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 2 of 24 Effective Date: Monday, October 10, 2016 Test Updates

Test Test Name Test Method / Specimen Stability Scope Units Reference Discontinue Code Name CPT Code Req. Comments

8051B Postmortem, Basic, Blood (Forensic) • 8051FL Postmortem, Basic, Fluid (Forensic) • Postmortem, Basic, Serum/Plasma 8051SP • (Forensic) 8051TI Postmortem, Basic, Tissue (Forensic) • 8051U Postmortem, Basic, Urine (Forensic) • Postmortem, Expanded w/Vitreous 8042B • Alcohol Confirmation, Blood (Forensic) Postmortem, Expanded w/Vitreous 10052B Alcohol Confirmation, Blood (Forensic) • (CSA) Postmortem, Expanded w/Vitreous 8057B Alcohol Confirmation, Blood - University • of MI (CSA) Postmortem, Expanded w/o Alcohol, 8062B • Blood (Forensic) Postmortem, Expanded w/o Alcohol, 8062U • Urine (Forensic) 8052B Postmortem, Expanded, Blood (Forensic) • 8052FL Postmortem, Expanded, Fluid (Forensic) • Postmortem, Expanded, Serum/Plasma 8052SP • (Forensic) Postmortem, Expanded, Tissue 8052TI • (Forensic) 8052U Postmortem, Expanded, Urine (Forensic) • Postmortem, Expert w/Vitreous Alcohol 8043B • Confirmation, Blood (Forensic) Postmortem, Expert w/Vitreous Alcohol 10092B • Confirmation, Blood (Forensic) (CSA) Postmortem, Expert w/Vitreous Alcohol 10151B • Confirmation, Blood (Forensic) (CSA) 8092B Postmortem, Expert, Blood (Forensic) • 8092FL Postmortem, Expert, Fluid (Forensic) • Postmortem, Expert, Serum/Plasma 8092SP • (Forensic) 8092TI Postmortem, Expert, Tissue (Forensic) • 8092U Postmortem, Expert, Urine (Forensic) • Postmortem, SIDS Screen, Blood 4177B • (Forensic)

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 3 of 24 Effective Date: Monday, October 10, 2016 Test Updates

Test Changes 8075U DUID/DRE Expanded Drug Screen Add-On, Urine (Forensic)

Summary of Changes: Scope of Analysis was changed. Order of Reporting was changed. Didesmethylsibutramine, Loxapine, Sibutramine and Tranylcypromine were removed. Scope of Analysis: LC/TOF-MS (80304): 2C-B, 2C-E, 5-MeO-DALT, 7-Amino Flunitrazepam, 9- Method (CPT Code) Hydroxyrisperidone, 10-Hydroxycarbazepine, Alfentanil, Amitriptyline, Amoxapine, Atomoxetine, Atropine, Benztropine, Bromo-Dragon FLY, Brompheniramine, Bupivacaine, Buprenorphine, Bupropion, Buspirone, Butorphanol, BZP, Caffeine, Carbamazepine, Carbamazepine-10,11-Epoxide, Carisoprodol, Chlorpheniramine, Chlorpromazine, Citalopram / Escitalopram, Clomipramine, Clonidine, Clozapine, Cotinine, Cyclobenzaprine, Desipramine, Desmethylclomipramine, Desmethyldoxepin, Desmethyltrimipramine, Dextro / Levo Methorphan, Dextrorphan / Levorphanol, Dicyclomine, Diltiazem, Diphenhydramine, Donepezil, Doxepin, Doxylamine, Eszopiclone / Zopiclone, Fentanyl, Flecainide, Flunitrazepam, Fluoxetine, Fluvoxamine, Guaifenesin, Hydroxybupropion, Hydroxyzine, Imipramine, Ketamine, Lacosamide, Lamotrigine, Levamisole, Levetiracetam, Lidocaine, LSD, Maprotiline, mCPP, MDMA, MDPV, Memantine, Meperidine, Mephedrone, Mepivacaine, Meprobamate, Mescaline, Mesoridazine, Metaxalone, Methaqualone, Methcathinone, Methedrone, Methocarbamol, Methylone, Methylphenidate, Mexiletine, Mirtazapine, Mitragynine, Monoethylglycinexylidide (MEGX), Nalbuphine, Naloxone, Nicotine, Norbuprenorphine - Total, Norclozapine, Norfentanyl, Norflunitrazepam, Norfluoxetine, Norketamine, Normeperidine, Nortriptyline, O- Desmethyltramadol, O-Desmethylvenlafaxine, Olanzapine, Orphenadrine, Papaverine, Paroxetine, Pentazocine, Phenazepam, Pheniramine, Phensuximide, Phenyltoloxamine, Phenytoin, PMA, Primidone, Procainamide, Promazine, Promethazine, Protriptyline, Psilocin, Pyrilamine, Quetiapine, Quinidine, Quinine, Ramelteon, Risperidone, Salvinorin B, Sertraline, Sildenafil, Sufentanil, Tapentadol, Tetrahydrozoline, TFMPP, Theophylline, Thioridazine, Thiothixene, Tiletamine, Topiramate, Tramadol, Trazodone, Trihexyphenidyl, Trimipramine, Triprolidine, Venlafaxine, Verapamil, Xylazine, Yohimbine, Zaleplon, Zolazepam, Zolpidem, Zonisamide, Scope Statement 10010B DUID/DRE Panel, Blood (Forensic) (CSA) - IN State Tox Lab

Summary of Changes: Scope of Analysis was changed. Ephedrine, Pseudoephedrine and Norpseudoephedrine were added. Ephedrine / Pseudoephedrine and Norpseudoephedrine / Phenylpropanolamine were removed. Scope of Analysis: ELISA (80301): Cannabinoids, Barbiturates Method (CPT Code) LC/TOF-MS (80304): Morphine, Oxymorphone, Hydromorphone, Codeine, Oxycodone, Ephedrine, Pseudoephedrine, Norpseudoephedrine, 6- Monoacetylmorphine, Hydrocodone, Amphetamine, MDMA, Methamphetamine, Norfentanyl, Benzoylecgonine, Cocaine, 7-Amino Clonazepam, Zolpidem, Meprobamate, Fentanyl, Midazolam, Methadone, Clonazepam, Alpha- Hydroxyalprazolam, Carisoprodol, Lorazepam, Nordiazepam, Oxazepam, Diazepam, Alprazolam, Desalkylflurazepam, Temazepam

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 4 of 24 Effective Date: Monday, October 10, 2016 Test Updates

Test Changes Compound Name Units Reference Comment Ephedrine ng/mL Pseudoephedrine ng/mL Norpseudoephedrine ng/mL 10024B DUID/DRE Panel, Blood (Forensic) (CSA) - IN State Tox Lab

Summary of Changes: Scope of Analysis was changed. Ephedrine, Pseudoephedrine and Norpseudoephedrine were added. Ephedrine / Pseudoephedrine and Norpseudoephedrine / Phenylpropanolamine were removed. Scope of Analysis: ELISA (80301): Barbiturates Method (CPT Code) LC/TOF-MS (80304): Morphine, Oxymorphone, Hydromorphone, Codeine, Oxycodone, Ephedrine, Pseudoephedrine, Norpseudoephedrine, 6- Monoacetylmorphine, Hydrocodone, Amphetamine, MDMA, Methamphetamine, Norfentanyl, Benzoylecgonine, Cocaine, 7-Amino Clonazepam, Zolpidem, Meprobamate, Fentanyl, Midazolam, Methadone, Clonazepam, Alpha- Hydroxyalprazolam, Carisoprodol, Lorazepam, Nordiazepam, Oxazepam, Diazepam, Alprazolam, Desalkylflurazepam, Temazepam Compound Name Units Reference Comment Ephedrine ng/mL Pseudoephedrine ng/mL Norpseudoephedrine ng/mL 10041B DUID/DRE Panel, Blood (Forensic) (CSA) - NC SCL

Summary of Changes: Scope of Analysis was changed. Order of Reporting was changed. Phendimetrazine and Phenmetrazine were removed. Scope of Analysis: ELISA (80301): Cannabinoids, Barbiturates Method (CPT Code) LC/TOF-MS (80304): 6-Monoacetylmorphine, 7-Amino Clonazepam, 7-Amino Flunitrazepam, 7-Amino Nitrazepam, Alpha-Hydroxyalprazolam, Alprazolam, Amitriptyline, Amphetamine, Benzoylecgonine, Bupropion, BZP, Carisoprodol, Chlordiazepoxide, Chlorpheniramine, Chlorpromazine, Citalopram / Escitalopram, Clobazam, Clomipramine, Clonazepam, Clozapine, Cocaethylene, Cocaine, Codeine, Cyclobenzaprine, Desalkylflurazepam, Desipramine, Desmethylclomipramine, Desmethyldoxepin, Desmethylsertraline, Dextro / Levo Methorphan, Diazepam, Dihydrocodeine / Hydrocodol, Diphenhydramine, Doxepin, Doxylamine, EDDP, Estazolam, Flunitrazepam, Fluoxetine, Flurazepam, Hydrocodone, Hydromorphone, Hydroxybupropion, Hydroxyethylflurazepam, Hydroxytriazolam, Imipramine, Ketamine, Lamotrigine, Lidocaine, Lorazepam, mCPP, MDA, MDEA, MDMA, MDPV, Meclizine, Meperidine, Mephedrone, Meprobamate, Mesoridazine, Methadone, Methamphetamine, Methaqualone, Methedrone, Methylone, Methylphenidate, Midazolam, Mirtazapine, Mitragynine,

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Test Changes Monoethylglycinexylidide (MEGX), Morphine, Nitrazepam, Norclozapine, Nordiazepam, Norflunitrazepam, Norfluoxetine, Norketamine, Normeperidine, Nortriptyline, O-Desmethyltramadol, O-Desmethylvenlafaxine, Orphenadrine, Oxazepam, Oxycodone, Oxymorphone, Paroxetine, Phenazepam, Phencyclidine, Phentermine, Phenytoin, Primidone, Promethazine, Quetiapine, Sertraline, Temazepam, Thioridazine, Tramadol, Trazodone, Triazolam, Venlafaxine, Zolpidem, Scope Statement 10010U DUID/DRE Panel, Urine (Forensic) (CSA) - IN State Tox Lab

Summary of Changes: Scope of Analysis was changed. Ephedrine, Pseudoephedrine and Norpseudoephedrine were added. Ephedrine / Pseudoephedrine and Norpseudoephedrine / Phenylpropanolamine were removed. Scope of Analysis: EIA (80301): Cannabinoids, Barbiturates Method (CPT Code) LC/TOF-MS (80304): Morphine, Oxymorphone, Hydromorphone, Codeine, Oxycodone, Ephedrine, Pseudoephedrine, Norpseudoephedrine, 6- Monoacetylmorphine, Hydrocodone, Amphetamine, MDMA, Methamphetamine, Norfentanyl, Benzoylecgonine, Cocaine, 7-Amino Clonazepam, Zolpidem, Meprobamate, Fentanyl, Methadone, Alpha-Hydroxyalprazolam, Carisoprodol, 1- Hydroxymidazolam, Lorazepam, Nordiazepam, Oxazepam, Diazepam, Alprazolam, Desalkylflurazepam, Temazepam Compound Name Units Reference Comment Ephedrine ng/mL Pseudoephedrine ng/mL Norpseudoephedrine ng/mL 10024U DUID/DRE Panel, Urine (Forensic) (CSA) - IN State Tox Lab

Summary of Changes: Scope of Analysis was changed. Ephedrine, Pseudoephedrine and Norpseudoephedrine were added. Ephedrine / Pseudoephedrine and Norpseudoephedrine / Phenylpropanolamine were removed. Scope of Analysis: EIA (80301): Barbiturates Method (CPT Code) LC/TOF-MS (80304): Morphine, Oxymorphone, Hydromorphone, Codeine, Oxycodone, Ephedrine, Pseudoephedrine, Norpseudoephedrine, 6- Monoacetylmorphine, Hydrocodone, Amphetamine, MDMA, Methamphetamine, Norfentanyl, Benzoylecgonine, Cocaine, 7-Amino Clonazepam, Zolpidem, Meprobamate, Fentanyl, Methadone, Alpha-Hydroxyalprazolam, Carisoprodol, 1- Hydroxymidazolam, Lorazepam, Nordiazepam, Oxazepam, Diazepam, Alprazolam, Desalkylflurazepam, Temazepam Compound Name Units Reference Comment Ephedrine ng/mL Pseudoephedrine ng/mL Norpseudoephedrine ng/mL 8098B Drug Screen (GC/MS), Blood

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Test Changes

Summary of Changes: Scope of Analysis was changed. Order of Reporting was changed. 2C-B, 7-Amino Flunitrazepam, Acepromazine, Allobarbital, Alphaprodine, Alphenal, Aprobarbital, BDB, Cathinone, Chlormezanone, Chlorphentermine, Flunitrazepam, Hydrastine, Mazindol, MBDB, Methohexital, Methylephedrine, Methylpropylsuccinimide, N-Ethylamphetamine, Nicardipine, Olanzapine, Phendimetrazine, Phenmetrazine, Prazepam, Selegiline, Thiamylal, Tranylcypromine and Warfarin were removed.

Acetyl Fentanyl, alpha-PVP, Clonidine, Desmethylsertraline, Felbamate, Gabapentin Breakdown Product, Lacosamide, mCPP, MDPV, Mefloquine, Mephedrone, Methoxetamine, Methylone, Metronidazole, Milnacipran, O- Desmethylvenlafaxine, Ondansetron, Phenazepam, PMA, Ramelteon M-II, Rufinamide, Tapentadol and Topiramate Breakdown Product were added. Scope of Analysis: Method (CPT Code) 8098U Drug Screen (GC/MS), Urine

Summary of Changes: Scope of Analysis was changed. Order of Reporting was changed. 2C-B, 7-Amino Flunitrazepam, Acepromazine, Allobarbital, Alphaprodine, Alphenal, Aprobarbital, BDB, Cathinone, Chlormezanone, Chlorphentermine, Flunitrazepam, Fluphenazine, Glutethimide, Haloperidol, Hexobarbital, Hydrastine, Loxapine, Mazindol, MBDB, Methohexital, Methylephedrine, Methylpropylsuccinimide, N-Ethylamphetamine, Nicardipine, Olanzapine, Phendimetrazine, Phenmetrazine, Prazepam, Prochlorperazine, Propofol, Selegiline, Thiamylal, Tranylcypromine, Trifluoperazine and Warfarin were removed.

Acetyl Fentanyl, alpha-PVP, Clonidine, Desmethylsertraline, Lacosamide, mCPP, MDPV, Mephedrone, Methoxetamine, Methylone, Metronidazole, Milnacipran, O-Desmethylvenlafaxine, Ondansetron, Phenazepam, PMA, Ramelteon M-II, Tapentadol and Topiramate Breakdown Product were added. Scope of Analysis: Method (CPT Code) 1876B Drug Screen - Expanded, Blood

Summary of Changes: Scope of Analysis was changed. Order of Reporting was changed. Didesmethylsibutramine, Ephedrine / Pseudoephedrine, Norpseudoephedrine / Phenylpropanolamine, Phendimetrazine, Phenmetrazine, Sibutramine and Tranylcypromine were removed.

Acetyl Fentanyl, Ephedrine, Norpseudoephedrine, Phenylpropanolamine and Pseudoephedrine were added.

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Test Changes Scope of Analysis: Method (CPT Code) 1876FL Drug Screen - Expanded, Fluid

Summary of Changes: Scope of Analysis was changed. Order of Reporting was changed. Acetohexamide, Amantadine, Antipyrine, Azatadine, Barbital, Benzocaine, Benzphetamine, Biperiden, Bromocriptine, Carbinoxamine, Chlorcyclizine, Chlorophene, Chlorpropamide, Chlorzoxazone, Cinnamoylcocaine, Cinnarizine, Clemastine, Clotrimazole, Coniine, Cyclizine, Cyproheptadine, Desmethylmianserin, Desmethylterbinafine, Diethylpropion, Dimethyltryptamine, Diphenoxylate, Disopyramide, Dothiepin, Doxapram, EMDP, Felodipine, Fenfluramine, Gabapentin Breakdown Product, Galantamine, Hydroxycotinine, Leucocrystal Violet, Lorcainide, Mephentermine, Mephenytoin, Mephobarbital, Methapyrilene, Metharbital, Methotrimeprazine, Methsuximide, Methylprimidone, Methyprylon, Mianserin, Molindone, N-Desmethylselegiline, Nevirapine, Norfenfluramine, Normethsuximide, Noroxycodone, Oxcarbazepine, Oxybutynin, Oxymetazoline, Pentoxifylline, Pergolide, Phenacetin, Phenylbutazone, Procaine, Procyclidine, Propafenone, Pyrimethamine, Reboxetine, Ropinirole, Ropivacaine, Scopolamine, Talbutal, Tamoxifen, Tapentadol, Terbinafine, Tetracaine, Thenyldiamine , Thiopental, Timolol, Tocainide, Trimethobenzamide and Zotepine were removed.

Naltrexone - Free was added. Scope of Analysis: Method (CPT Code) 1876SP Drug Screen - Expanded, Serum/Plasma

Acetaminophen, Acetyl Fentanyl, Benzocaine, Ephedrine, Norpseudoephedrine, Phenylpropanolamine and Pseudoephedrine were added. Scope of Analysis: Method (CPT Code) 1876U Drug Screen - Expanded, Urine

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 8 of 24 Effective Date: Monday, October 10, 2016 Test Updates

Test Changes

Summary of Changes: Scope of Analysis was changed. Order of Reporting was changed. Didesmethylsibutramine, Ephedrine / Pseudoephedrine, Loxapine, Norpseudoephedrine / Phenylpropanolamine, Phendimetrazine, Phenmetrazine, Sibutramine and Tranylcypromine were removed.

Acetyl Fentanyl, Ephedrine, Norpseudoephedrine, Phenylpropanolamine and Pseudoephedrine were added. Scope of Analysis: Method (CPT Code) 1450SP Drug-Facilitated Sexual Assault Screen, Serum/Plasma (Forensic)

Summary of Changes: Scope of Analysis was changed. Order of Reporting was changed. 2C-B, Acepromazine, Allobarbital, Alphaprodine, Alphenal, Aprobarbital, BDB, Cathinone, Chlormezanone, Chlorphentermine, Hydrastine, Mazindol, MBDB, Methohexital, Methylephedrine, Methylpropylsuccinimide, N- Ethylamphetamine, Nicardipine, Olanzapine, Phendimetrazine, Phenmetrazine, Prazepam, Selegiline, Thiamylal, Tranylcypromine and Warfarin were removed.

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 9 of 24 Effective Date: Monday, October 10, 2016 Test Updates

Test Changes 1452U Drug-Facilitated Sexual Assault Survey 2, Urine (Forensic)

Summary of Changes: Scope of Analysis was changed. Order of Reporting was changed. 2C-B, Acepromazine, Allobarbital, Alphaprodine, Alphenal, Aprobarbital, BDB, Cathinone, Chlormezanone, Chlorphentermine, Fluphenazine, Glutethimide, Haloperidol, Hexobarbital, Hydrastine, Loxapine, Mazindol, MBDB, Methohexital, Methylephedrine, Methylpropylsuccinimide, N- Ethylamphetamine, Nicardipine, Olanzapine, Phendimetrazine, Phenmetrazine, Prazepam, Prochlorperazine, Propofol, Selegiline, Thiamylal, Tranylcypromine, Trifluoperazine and Warfarin were removed.

Acetyl Fentanyl , alpha-PVP, Clonidine, Desmethylsertraline, Lacosamide, mCPP, MDPV, Mephedrone, Methoxetamine, Methylone, Metronidazole, Milnacipran, O-Desmethylvenlafaxine, Ondansetron, Phenazepam, PMA, Tapentadol, Topiramate Breakdown Product and Ramelteon M-II were added. Scope of Analysis: Method (CPT Code) 1860B GC/MS Drug Screen (Acid/Neutral), Blood (Forensic)

Summary of Changes: Scope of Analysis was changed. Order of Reporting was changed. 7-Amino Flunitrazepam, Allobarbital, Alphenal, Aprobarbital, Chlormezanone, Flunitrazepam, Hydrastine, Mazindol, Methohexital, Methylpropylsuccinimide, Prazepam and Warfarin were removed.

Felbamate, Gabapentin Breakdown Product, Lacosamide, Mefloquine, Metronidazole, O-Desmethylvenlafaxine, Phenazepam, Ramelteon M-II, Rufinamide and Topiramate Breakdown Product were added. Scope of Analysis: GC/MS (80304): Acetaminophen, Acetohexamide, Amobarbital, Barbital, Method (CPT Code) Butabarbital, Butalbital, Caffeine, Carbamazepine, Carbromal, Carisoprodol, Chlorophene, Chlorpropamide, Chlorzoxazone, Cinnamoylcocaine, Desmethylcitalopram, Desmethylterbinafine, Diethylpropion, Ethinamate, Ethosuximide, Ethotoin, Etomidate, Felbamate, Felodipine, Fluconazole, Gabapentin Breakdown Product, Gemfibrozil, Glutethimide, Guaifenesin, Hexobarbital, Hydroxycotinine, Ibuprofen, Lacosamide, Lamotrigine, Levetiracetam, Mefloquine, Mephenytoin, Mephobarbital, Meprobamate, Methaqualone, Metharbital, Methocarbamol, Methsuximide, Methylprimidone, Methyprylon, Metronidazole, Naproxen, Naproxen Breakdown Product, Nevirapine, Nifedipine, Normethsuximide, Norpropoxypheneamide, O-Desmethylvenlafaxine, Oxcarbazepine, Pentobarbital, Pentoxifylline, Phenacetin, Phenazepam, Phenobarbital, Phensuximide, Phenylbutazone, Phenylethylmalonamide (PEMA), Phenytoin, Primidone, Procaine, Propafenone, Propofol, Ramelteon, Ramelteon M-II, Ropinirole, Rufinamide, Scopolamine, Secobarbital, Talbutal, Terbinafine, Tetracaine, Theobromine, Theophylline, Thiopental, Topiramate Breakdown Product, Trimethoprim, Xylazine, Zonisamide, Other Findings 8063B Postmortem, Basic to Expanded Upgrade, Blood (Forensic)

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Test Changes

Summary of Changes: Scope of Analysis was changed. Order of Reporting was changed. Didesmethylsibutramine, Fentanyl, Norfentanyl, Sibutramine and Tranylcypromine were removed. Scope of Analysis: Method (CPT Code) 8063FL Postmortem, Basic to Expanded Upgrade, Fluid (Forensic)

Summary of Changes: Scope of Analysis was changed. Order of Reporting was changed. 2C-B, 7-Amino Flunitrazepam, Acepromazine, Acetohexamide, Allobarbital, Alphaprodine, Alphenal, Amantadine, Antipyrine, Aprobarbital, Azatadine, Barbital, BDB, Benzocaine, Benzphetamine, Biperiden, Bromocriptine, Carbinoxamine, Cathinone, Chlorcyclizine, Chlormezanone, Chlorophene, Chlorpheniramine, Chlorphentermine, Chlorpropamide, Chlorzoxazone, Cinnamoylcocaine, Cinnarizine, Clemastine, Clotrimazole, Coniine, Cyclizine, Cyproheptadine, Desmethylmianserin, Desmethylterbinafine, Diethylpropion, Dimethyltryptamine, Diphenoxylate, Disopyramide, Dothiepin, Doxapram, EMDP, Felodipine, Fenfluramine, Flunitrazepam, Fluphenazine, Galantamine, Hydrastine, Hydroxycotinine, Leucocrystal Violet, Lorcainide, Mazindol, MBDB, Mephentermine, Mephenytoin, Mephobarbital, Methapyrilene, Metharbital, Methohexital, Methotrimeprazine, Methsuximide, Methylephedrine, Methylprimidone, Methylpropylsuccinimide, Methyprylon, Mianserin, Molindone, N-Desmethylselegiline, N-Ethylamphetamine, Nevirapine, Nicardipine, Norfenfluramine, Normethsuximide, Noroxycodone, Norpropoxypheneamide, Olanzapine, Oxcarbazepine, Oxcarbazepine Breakdown Product, Oxybutynin, Oxymetazoline, Pentoxifylline, Pergolide, Phenacetin, Phendimetrazine, Phenmetrazine, Phenylbutazone, Prazepam, Procaine, Prochlorperazine, Procyclidine, Propafenone, Pyrimethamine, Reboxetine, Ropinirole, Ropivacaine, Scopolamine, Selegiline, Talbutal, Tamoxifen, Terbinafine, Tetracaine, Thenyldiamine, Thiamylal, Thiopental, Timolol, Tocainide, Tranylcypromine, Trifluoperazine, Trimethobenzamide, Warfarin and Zotepine were removed.

Acetyl Fentanyl, alpha-PVP, Clonidine, Desmethylsertraline, Felbamate, Lacosamide, mCPP, MDPV, Mephedrone, Methoxetamine, Methylone, Metronidazole, Milnacipran, Naltrexone – Free, O-Desmethylvenlafaxine, Ondansetron, PMA, Ramelteon M-II and Rufinamide were added. Scope of Analysis: Method (CPT Code) 8063SP Postmortem, Basic to Expanded Upgrade, Serum/Plasma (Forensic)

Summary of Changes: Scope of Analysis was changed. Order of Reporting was changed. Didesmethylsibutramine, Fentanyl, Norfentanyl, Sibutramine and Tranylcypromine were removed.

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Test Changes Scope of Analysis: Method (CPT Code) 8063TI Postmortem, Basic to Expanded Upgrade, Tissue (Forensic)

Acetyl Fentanyl, alpha-PVP, Clonidine, Desmethylsertraline, Felbamate, Lacosamide, mCPP, MDPV, Mephedrone, Methoxetamine, Methylone, Metronidazole, Milnacipran, Naltrexone – Free, O-Desmethylvenlafaxine, Ondansetron, PMA, Ramelteon M-II and Rufinamide were added. Scope of Analysis: Method (CPT Code) 8063U Postmortem, Basic to Expanded Upgrade, Urine (Forensic)

Summary of Changes: Scope of Analysis was changed. Order of Reporting was changed. Didesmethylsibutramine, Fentanyl, Loxapine, Norfentanyl, Sibutramine and Tranylcypromine were removed. Scope of Analysis: Method (CPT Code) 8041B Postmortem, Basic w/Vitreous Alcohol Confirmation, Blood (Forensic)

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Test Changes

Summary of Changes: Scope of Analysis was changed. Fentanyl / Acetyl Fentanyl was added. Fentanyl / Metabolite was removed. Scope of Analysis: ELISA (80301): Opiates, Cocaine / Metabolites, Benzodiazepines, Cannabinoids, Method (CPT Code) Amphetamines, Barbiturates, Methadone / Metabolite, Phencyclidine, Fentanyl / Acetyl Fentanyl, Methamphetamine / MDMA, Oxycodone / Oxymorphone, Buprenorphine / Metabolite Headspace GC (80301): Ethanol, Blood Alcohol Concentration (BAC), Methanol, Isopropanol, Acetone Compound Name Units Reference Comment Fentanyl / Acetyl Fentanyl ng/mL 8061B Postmortem, Basic w/o Alcohol, Blood (Forensic)

Summary of Changes: Scope of Analysis was changed. Fentanyl / Acetyl Fentanyl was added. Fentanyl / Metabolite was removed. Scope of Analysis: ELISA (80301): Opiates, Cocaine / Metabolites, Benzodiazepines, Cannabinoids, Method (CPT Code) Amphetamines, Barbiturates, Methadone / Metabolite, Phencyclidine, Fentanyl / Acetyl Fentanyl, Methamphetamine / MDMA, Oxycodone / Oxymorphone, Buprenorphine / Metabolite Compound Name Units Reference Comment Fentanyl / Acetyl Fentanyl ng/mL 8061TI Postmortem, Basic w/o Alcohol, Tissue

Summary of Changes: Scope of Analysis was changed. Fentanyl / Acetyl Fentanyl was added. Scope of Analysis: ELISA (80301): Opiates, Cocaine / Metabolites, Benzodiazepines, Cannabinoids, Method (CPT Code) Amphetamines, Barbiturates, Methadone / Metabolite, Phencyclidine, Fentanyl / Acetyl Fentanyl, Methamphetamine / MDMA, Oxycodone / Oxymorphone, Buprenorphine / Metabolite Compound Name Units Reference Comment Fentanyl / Acetyl Fentanyl ng/g 8061U Postmortem, Basic w/o Alcohol, Urine (Forensic)

Summary of Changes: Scope of Analysis was changed. Fentanyl / Acetyl Fentanyl was added. Fentanyl / Metabolite was removed. Scope of Analysis: EIA (80301): Opiates, Cocaine / Metabolites, Benzodiazepines, Cannabinoids, Method (CPT Code) Barbiturates, Methadone / Metabolite, Phencyclidine, Oxycodone / Oxymorphone EIA (80301): Amphetamines, MDMA, Buprenorphine / Metabolite, Fentanyl / Acetyl Fentanyl Compound Name Units Reference Comment Fentanyl / Acetyl Fentanyl ng/mL

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Test Changes 8051B Postmortem, Basic, Blood (Forensic)

Summary of Changes: Scope of Analysis was changed. Fentanyl / Acetyl Fentanyl was added. Fentanyl / Metabolite was removed. Scope of Analysis: ELISA (80301): Opiates, Cocaine / Metabolites, Benzodiazepines, Cannabinoids, Method (CPT Code) Amphetamines, Barbiturates, Methadone / Metabolite, Phencyclidine, Fentanyl / Acetyl Fentanyl, Methamphetamine / MDMA, Oxycodone / Oxymorphone, Buprenorphine / Metabolite Headspace GC (80301): Ethanol, Methanol, Isopropanol, Acetone Compound Name Units Reference Comment Fentanyl / Acetyl Fentanyl ng/mL 8051SP Postmortem, Basic, Serum/Plasma (Forensic)

Summary of Changes: Scope of Analysis was changed. Fentanyl / Acetyl Fentanyl was added. Fentanyl / Metabolite was removed. Scope of Analysis: ELISA (80301): Opiates, Cocaine / Metabolites, Benzodiazepines, Cannabinoids, Method (CPT Code) Amphetamines, Barbiturates, Methadone / Metabolite, Phencyclidine, Methamphetamine / MDMA, Oxycodone / Oxymorphone, Buprenorphine / Metabolite Headspace GC (80301): Ethanol, Methanol, Isopropanol, Acetone ELISA (80302): Fentanyl / Acetyl Fentanyl Compound Name Units Reference Comment Fentanyl / Acetyl Fentanyl ng/mL 8051TI Postmortem, Basic, Tissue (Forensic)

Summary of Changes: Scope of Analysis was changed. Fentanyl / Acetyl Fentanyl was added. Fentanyl / Metabolite was removed.

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Test Changes Scope of Analysis: ELISA (80301): Opiates, Cocaine / Metabolites, Benzodiazepines, Cannabinoids, Method (CPT Code) Amphetamines, Barbiturates, Methadone / Metabolite, Phencyclidine, Fentanyl / Acetyl Fentanyl, Methamphetamine / MDMA, Oxycodone / Oxymorphone, Buprenorphine / Metabolite Headspace GC (80301): Ethanol, Methanol, Isopropanol, Acetone Compound Name Units Reference Comment Fentanyl / Acetyl Fentanyl ng/g 8051U Postmortem, Basic, Urine (Forensic)

Summary of Changes: Scope of Analysis was changed. Fentanyl / Acetyl Fentanyl was added. Fentanyl / Metabolite was removed. Scope of Analysis: EIA (80301): Opiates, Cocaine / Metabolites, Benzodiazepines, Cannabinoids, Method (CPT Code) Barbiturates, Methadone / Metabolite, Phencyclidine, Oxycodone / Oxymorphone Headspace GC (80301): Ethanol, Methanol, Isopropanol, Acetone EIA (80301): Amphetamines, MDMA, Buprenorphine / Metabolite, Fentanyl / Acetyl Fentanyl Compound Name Units Reference Comment Fentanyl / Acetyl Fentanyl ng/mL 10052B Postmortem, Expanded w/Vitreous Alcohol Confirmation, Blood (Forensic) (CSA)

Ephedrine, Norpseudoephedrine, Phenylpropanolamine and Pseudoephedrine were added. Scope of Analysis: Method (CPT Code) 8042B Postmortem, Expanded w/Vitreous Alcohol Confirmation, Blood (Forensic)

Ephedrine, Norpseudoephedrine, Phenylpropanolamine and Pseudoephedrine were added. Scope of Analysis: Method (CPT Code) 8057B Postmortem, Expanded w/Vitreous Alcohol Confirmation, Blood - University of MI (CSA)

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Test Changes

Ephedrine, Norpseudoephedrine, Phenylpropanolamine and Pseudoephedrine were added. Scope of Analysis: Method (CPT Code) 8062B Postmortem, Expanded w/o Alcohol, Blood (Forensic)

Ephedrine, Norpseudoephedrine, Phenylpropanolamine and Pseudoephedrine were added. Scope of Analysis: Method (CPT Code) 8062U Postmortem, Expanded w/o Alcohol, Urine (Forensic)

Ephedrine, Norpseudoephedrine, Phenylpropanolamine and Pseudoephedrine were added. Scope of Analysis: Method (CPT Code) 8052B Postmortem, Expanded, Blood (Forensic)

Ephedrine, Norpseudoephedrine, Phenylpropanolamine and Pseudoephedrine were added.

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Test Changes Scope of Analysis: Method (CPT Code) 8052FL Postmortem, Expanded, Fluid (Forensic)

Ephedrine, Norpseudoephedrine, Phenylpropanolamine and Pseudoephedrine were added.

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Test Changes Scope of Analysis: Method (CPT Code) 8052TI Postmortem, Expanded, Tissue (Forensic)

Ephedrine, Norpseudoephedrine, Phenylpropanolamine and Pseudoephedrine were added.

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Test Changes Scope of Analysis: Method (CPT Code) 10092B Postmortem, Expert w/Vitreous Alcohol Confirmation, Blood (Forensic) (CSA)

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Test Changes

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Test Changes Dimethyltryptamine, Diphenoxylate, Disopyramide, Dothiepin, Doxapram, EMDP, Felodipine, Fenfluramine, Flunitrazepam, Fluphenazine, Galantamine, Hydrastine, Hydroxycotinine, Leucocrystal Violet, Lorcainide, Mazindol, MBDB, Mephentermine, Mephenytoin, Mephobarbital, Methapyrilene, Metharbital, Methohexital, Methotrimeprazine, Methsuximide, Methylephedrine, Methylprimidone, Methylpropylsuccinimide, Methyprylon, Mianserin, Molindone, N-Desmethylselegiline, N-Ethylamphetamine, Nevirapine, Nicardipine, Norfenfluramine, Normethsuximide, Noroxycodone, Norpropoxypheneamide, Olanzapine, Oxcarbazepine, Oxcarbazepine Breakdown Product, Oxybutynin, Oxymetazoline, Pentoxifylline, Pergolide, Phenacetin, Phendimetrazine, Phenmetrazine, Phenylbutazone, Prazepam, Procaine, Prochlorperazine, Procyclidine, Propafenone, Pyrimethamine, Reboxetine, Ropinirole, Ropivacaine, Scopolamine, Selegiline, Talbutal, Tamoxifen, Terbinafine, Tetracaine, Thenyldiamine, Thiamylal, Thiopental, Timolol, Tocainide, Tranylcypromine, Trifluoperazine, Trimethobenzamide, Warfarin and Zotepine were removed.

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Test Changes

Summary of Changes: Scope of Analysis was changed. Order of Reporting was changed. 2C-B, 7-Amino Flunitrazepam, Acepromazine, Allobarbital, Alphaprodine, Alphenal, Aprobarbital, BDB, Cathinone, Chlormezanone, Chlorpheniramine, Chlorphentermine, Flunitrazepam, Fluphenazine, Hydrastine, Mazindol, MBDB, Methohexital, Methylephedrine, Methylpropylsuccinimide, N- Ethylamphetamine, Nicardipine, Norpropoxypheneamide, Olanzapine, Oxcarbazepine Breakdown Product, Phendimetrazine, Phenmetrazine, Prazepam, Prochlorperazine, Selegiline, Thiamylal, Tranylcypromine, Trifluoperazine and Warfarin were removed.

Acetyl Fentanyl, alpha-PVP, Clonidine, Desmethylsertraline, Felbamate, Lacosamide, mCPP, MDPV, Mephedrone, Methoxetamine, Methylone, Metronidazole, Milnacipran, O-Desmethylvenlafaxine, Ondansetron, PMA, Rufinamide and Tapentadol were added. Scope of Analysis: Method (CPT Code) 8092U Postmortem, Expert, Urine (Forensic)

Summary of Changes: Scope of Analysis was changed. Order of Reporting was changed. 2C-B, 7-Amino Flunitrazepam, Acepromazine, Allobarbital, Alphaprodine, Alphenal, Aprobarbital, BDB, Cathinone, Chlormezanone, Chlorphentermine, Flunitrazepam, Fluphenazine, Glutethimide, Haloperidol, Hexobarbital, Hydrastine, Loxapine, Mazindol, MBDB, Methohexital, Methylephedrine, Methylpropylsuccinimide, N-Ethylamphetamine, Nicardipine, Olanzapine, Phendimetrazine, Phenmetrazine, Prazepam, Prochlorperazine, Propofol, Selegiline, Thiamylal, Tranylcypromine, Trifluoperazine and Warfarin were removed.

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Test Changes

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Discontinued Tests Test Code Test Name Alternative Test 4177TI Postmortem Toxicology - SIDS Screen, Tissue 8092TI - Postmortem, Expert, Tissue (Forensic) (Forensic) 4177U Postmortem Toxicology - SIDS Screen, Urine 8092U - Postmortem, Expert, Urine (Forensic) (Forensic)

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