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Nicotine and Metabolite Quantitation, Random Urine

Test ID: NICOT

Test

Aliases/Synonyms

Cotinine

Method

LC-MS/MS

Report Includes

Nicotine; Cotinine

Specimens

Urine (Random)

Clinical Utility

This assay is used for the detection of nicotine and cotinine in urine to determine the tobacco exposure status of the individual. Nicotine has a short half-life of approximately forty minutes; its presence may indicate recent tobacco exposure. Cotinine, the major nicotine metabolite, has a half-life of 24 hours and is detectable for several days after cessation of tobacco exposure.

Test Location

Quest Diagnostics, California USA

Test Version

26-Jan-2023

Specimen

Specimens

Urine (Random)

Collection Containers

Sterile Container

Sample Volume

1 mL

Minimum Volume

0.5 mL

Collection & Handling

Handling Information

Store and send cold or frozen.

Stability

Ambient 72 hours
Refrigerated 14 days
Frozen 30 days

Test Version

26-Jan-2023

Performance / Interpretation

Method

LC-MS/MS

Turnaround Time

8 days

Results

Name Units Reference Range Conversion Factor
Nicotine ng/mL
  • Smokers: 200 - 700
  • Non-smokers: ≤17
Cotinine ng/mL
  • Smokers: 300 - 1300
  • Non-smokers: ≤20

Individuals exposed to second-hand or passive tobacco smoke may demonstrate concentrations of nicotine and cotinine greater than those indicated for non-smokers.

Test Location

Quest Diagnostics, California USA

Test Version

26-Jan-2023

Interface / Setup

HL7 Interface Codes

Order Code Result Codes Units
NICOT 62799NICOTINE, URINE ng/mL
62800COTININE, URINE ng/mL

Test Version

26-Jan-2023