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Chronic Pain Drug Testing

The Washington State legislature directed the Medical Quality Assurance Commission to adopt new rules for management of chronic non-cancer pain. We have formulated a simplified process for urine drug testing which incorporates an ordering strategy based on risk. Providers should assess risk (e.g., Opioid Risk Tool, ORT), review clinical patient care data, and order tests as described below (list Expected Drugs on the order form, which will facilitate interpretation). Additional information regarding these rules can be found via UW TelePain and the Dept. of Anesthesiology & Pain Medicine website.

There are many drug testing options through the UW Department of Laboratory Medicine.

The PowerPoint slideshow "What Goes in Must Come Out" discusses the history of these regulations and their impact on laboratory testing. Please note that the current UW testing panels have changed since this presentation.
Download then play "What Goes in Must Come Out" presentation and slideshow

Last updated: 09/13/2019