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23202 Tramadol Quantitation, Urine

Tramadol Quantitation, Urine
Test Code: TRAM
Synonyms/Keywords
​Ultracet, Ultram
Useful For
​Detecting exposure to tramadol to monitor compliance in taking prescribed medications or to detect abuse. 
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
No​ Urine​ Sage urine collection container​ Sterile plastic container with no preservatives​ 5 mL​ 3 mL​ 1.5 mL​
Specimen Stability Information
Specimen Type Temperature Time
Urine​ Ambient​ 72 hours​
Refrigerate (Preferred)​ 30 days​
Frozen​ 30 days​
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield​ Monday through Friday​ 2-4 days​ Gas chromatography-mass spectrometry (GCMS) using selected ion monitoring​
Test Information
This test was developed and its performance characteristics determined by Marshfield Labs. This laboratory is certified under the Clinical Laboratory Improvement Amendments (CLIA) to perform high complexity testing.


This test will confirm quantitatively for Tramadol, a dual action analgesics. It is a mu-opioid receptor agonist and a weak inhibitor of norepinephrine and serotonin reuptake. Tramadol is used for managing moderate to severe chronic pain and is habit forming.​

Reference Range Information
Performing Location Reference Range
Marshfield​ Negative.  Positives are reported with a quantitative GCMS result.​
Interpretation

​Current Cutoff Levels for Toxicology

Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
80373​ ​ 1​ Tramadol Confirmation​ ​
G0480 ​ 1​ Tramadol Confirmation​ ​For Medicare/Medicaid
Classification
This test was developed and its performance characteristics determined by Marshfield Labs. This laboratory is certified under the Clinical Laboratory Improvement Amendments (CLIA) to perform high complexity testing.
​
Synonyms/Keywords
​Ultracet, Ultram
Ordering Applications
Ordering Application Description
​Centricity ​Tramadol
​Cerner Tramadol, Urine​
​COM ​Tramadol, Urine
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
No​ Urine​ Sage urine collection container​ Sterile plastic container with no preservatives​ 5 mL​ 3 mL​ 1.5 mL​
Specimen Stability Information
Specimen Type Temperature Time
Urine​ Ambient​ 72 hours​
Refrigerate (Preferred)​ 30 days​
Frozen​ 30 days​
Useful For
​Detecting exposure to tramadol to monitor compliance in taking prescribed medications or to detect abuse. 
Reference Range Information
Performing Location Reference Range
Marshfield​ Negative.  Positives are reported with a quantitative GCMS result.​
Interpretation

​Current Cutoff Levels for Toxicology

For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield​ Monday through Friday​ 2-4 days​ Gas chromatography-mass spectrometry (GCMS) using selected ion monitoring​
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
80373​ ​ 1​ Tramadol Confirmation​ ​
G0480 ​ 1​ Tramadol Confirmation​ ​For Medicare/Medicaid
Classification
This test was developed and its performance characteristics determined by Marshfield Labs. This laboratory is certified under the Clinical Laboratory Improvement Amendments (CLIA) to perform high complexity testing.
​
For most current information refer to the Marshfield Laboratory online reference manual.