Test Code NICOU Nicotine and Metabolites, Random, Urine
Reporting Name
Nicotine and Metabolites, UUseful For
Monitoring tobacco use
Monitoring patients on nicotine-replacement therapy for concurrent use of tobacco products
Method Name
Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS)
Performing Laboratory
 Mayo Clinic Laboratories in Rochester
Specimen Type
UrineSpecimen Required
Supplies: Sarstedt Aliquot Tube, 5 mL (T914)
Container/Tube: Plastic urine container
Submission Container/Tube: Plastic, 5-mL tube
Specimen Volume: 3 mL
Collection Instructions:
1. Collect a random urine specimen.
2. No preservative.
Specimen Minimum Volume
2 mL
Specimen Stability Information
| Specimen Type | Temperature | Time | 
|---|---|---|
| Urine | Refrigerated (preferred) | 28 days | 
| Frozen | 365 days | |
| Ambient | 28 days | 
Reject Due To
| Gross hemolysis | OK | 
| Gross icterus | OK | 
Reference Values
Non-tobacco user with no passive exposure:
Nicotine <5.0 ng/mL
Cotinine
<5.0 ng/mL
Anabasine
<2.0 ng/mL
Nornicotine
<2.0 ng/mL
Day(s) Performed
Monday through Sunday
CPT Code Information
80323
G0480 (if appropriate)
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value | 
|---|---|---|
| NICOU | Nicotine and Metabolites, U | 43125-4 | 
| Result ID | Test Result Name | Result LOINC Value | 
|---|---|---|
| 82510 | Nicotine | 3854-7 | 
| 21321 | Cotinine | 10366-3 | 
| 21324 | Nornicotine | 33917-6 | 
| 21323 | Anabasine | 33915-0 |