Test library
Cocaine Screen and Confirmation Urine
This urine test screens for cocaine metabolites such as benzoylecgonine and includes confirmation testing to verify a non-negative screening result.
Order Cocaine Metabolite Screen and Confirmation, Urine
Order online and visit a local collection site, or choose an at-home kit where available. No referral and no insurance required.
Order Cocaine Metabolite Screen and Confirmation, Urine- Typical turnaround
- 1-3 business days
- Starting price
- From $45
- Results
- Confidential, online
Quick answer
The urine cocaine metabolite screen with confirmation detects cocaine breakdown products in urine. Urine has a longer detection window than blood, making it common for workplace, clinical, and program testing. A screening immunoassay is followed by a specific confirmation method when the screen is non-negative. Results are interpreted by the authorized professional managing the test.
What this test measures
This test targets cocaine and its metabolites in urine, with benzoylecgonine as the primary marker. Ecgonine methyl ester, norcocaine, and cocaethylene, which forms when alcohol is also present, may be detected as well. Because the body clears these compounds over a period of days, urine testing can identify use that occurred somewhat earlier than a blood test would. The initial immunoassay is designed for rapid screening.
A urine sample is collected in a specimen cup at a partner laboratory. If the immunoassay is non-negative, the laboratory performs confirmation with gas chromatography mass spectrometry or liquid chromatography tandem mass spectrometry. Creatinine, pH, and specific gravity may be reported to assess specimen validity and dilution. Chain-of-custody documentation is used when the program requires it.
People encounter this test through workplace programs, clinical evaluations, or other authorized testing situations. It identifies the presence of cocaine metabolites and does not by itself prove impairment or dependence. Only the professional managing the program should communicate and interpret the result, and health questions should go to a qualified healthcare provider.
- Benzoylecgonine metabolite
- Cocaine parent compound
- Ecgonine methyl ester metabolite
- Cocaethylene metabolite
- Immunoassay screening result
- Chromatographic confirmation result
- Specimen validity markers including creatinine and pH
Why people order this test
- Detect cocaine use over a longer window than blood testing allows
- Verify a non-negative screen with a specific confirmation method
- Support workplace or program testing requirements
- Assess possible combined cocaine and alcohol exposure
- Document specimen validity for the testing program
How to prepare
No fasting is required, and a random urine sample is collected in a clean cup. Follow the collection instructions provided by the program, including any timing or chain-of-custody steps. Tell the collector about medications that might interfere with the screening assay.
Understanding your results
Results are generally available within one to three business days, and confirmation can add additional time. A non-negative screen is preliminary until the confirmation method verifies it. The program or provider managing the test explains what the final result means in your situation.
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Frequently Asked Questions
How long can cocaine be detected in urine?
Detection windows vary with use patterns, metabolism, and the test cutoff, but urine generally detects cocaine metabolites for a few days after use.
What does the confirmation step add?
Confirmation uses a highly specific method to verify that the compounds detected by the screen are truly cocaine metabolites rather than cross-reacting substances.
Why are creatinine and pH reported?
They help assess whether the specimen is valid and appropriately concentrated, which supports accurate interpretation.
Can secondhand exposure cause a positive result?
Secondhand exposure can occasionally produce low-level findings, which is one reason confirmation testing and professional interpretation are used.
Does a positive result mean I am impaired?
No. The test detects metabolites that can remain in urine for days and does not measure current impairment.
Ready to get tested?
Order online and visit a collection site near you, or choose a mail-in kit. No referral and no insurance required.
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