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Complete Blood Count (CBC)

Published: August 9, 2026Updated: August 16, 2026

This test checks for barbital (a barbiturate medication) in your urine using a confirmatory method to ensure accurate results.

Quick summary

{"This test detects barbital, a barbiturate medication used for seizures or sedation","A confirmatory test verifies initial drug screening results","Results are reported as positive or negative based on a specific cutoff level","This test is commonly used for medication monitoring or drug testing programs"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
19356-5
Short code
BARBCF
Synonyms
Barbital CtO Ur Cfm-mCnc
Category
chemistry
Sample
urine
Container
Sterile, leak-proof urine collection container without preservative; amber-colored container preferred to protect from light degradation
Units
N/A
Ref high
200
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
confirm
CPT
80345
SNOMED
167914001
Specimen volume
30-50 mL of random urine
Stability
Refrigerated (2-8°C): up to 7 days; Frozen (-20°C or below): up to 1 month. Avoid repeated freeze-thaw cycles.
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
24–72 hours
Order
routine

A complete blood count, or CBC, is a common blood test that measures the different cells in your blood, including red blood cells, white blood cells, and platelets, to give your doctor a broad picture of your overall health.

The Barbital Confirmatory Test is a laboratory test performed on a urine sample to detect the presence of barbital, a barbiturate medication. Barbiturates are sedative-hypnotic drugs that were historically used to treat anxiety, insomnia, and seizures. While less commonly prescribed today, they may still be used for certain medical conditions. This confirmatory test uses a more precise method to verify whether barbital or its metabolites are present in your urine.

Your doctor may order this test as part of a routine checkup or to help find the cause of symptoms such as fatigue, weakness, fever, easy bruising, or unexplained weight loss, and it is also used to monitor an existing condition or check how a treatment is working.

Your healthcare provider may order this test for several reasons: 1) To monitor if you are taking your prescribed barbital medication as directed, 2) As part of a drug testing program (such as workplace testing or substance abuse monitoring), 3) To confirm results from an initial drug screening test, or 4) To help diagnose potential barbiturate use or overdose in emergency situations.

The test is performed with a simple blood draw. A healthcare provider will place a band around your upper arm, clean the skin on the inside of your elbow, and use a small needle to collect a blood sample into a tube, which usually takes only a few minutes.

A urine sample is collected in a clean container. The sample is then sent to a laboratory where it undergoes confirmatory testing using methods such as gas chromatography-mass spectrometry (GC-MS) or liquid chromatography-tandem mass spectrometry (LC-MS/MS). These methods are highly accurate and can specifically identify barbital and its breakdown products (metabolites) in the urine. The test result is compared against a predetermined cutoff value to determine if the result is positive or negative.

Your results show whether your blood cell counts fall within the normal range. Abnormal levels may point to conditions such as anemia, infection, inflammation, or clotting problems, but your doctor will interpret them together with your symptoms and medical history.

Results are typically reported as either 'Positive' (detected) or 'Negative' (not detected). A positive result means barbital was found in your urine above the cutoff level. This could indicate that you have taken barbital medication as prescribed, or in some cases, it may indicate unauthorized use. A negative result means no barbital was detected above the cutoff level. Your healthcare provider will interpret these results in the context of your medical history and the reason for testing.

Reference range

Negative (below cutoff threshold). The standard SAMHSA-recommended confirmatory cutoff for barbital is 200 ng/mL in urine.N/A

Specimen: urine

No fasting required. Patients should be advised that certain prescription and over-the-counter medications may contain barbiturate compounds. Collect sample under chain-of-custody if forensic or workplace drug testing is indicated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

The Barbital Confirmatory Test is important for therapeutic drug monitoring, ensuring patient compliance with prescribed medications, and in forensic or occupational drug testing scenarios. It helps healthcare providers verify the presence of barbiturate medications, assess for potential misuse or overdose, and make informed decisions about patient care. The confirmatory method is more specific than initial screening tests and reduces the chance of false positive results.

Frequently asked questions

How long does barbital stay in urine?
Barbital can be detected in urine for several days to weeks after use, depending on factors such as dosage, frequency of use, individual metabolism, kidney function, and urine pH. The detection window varies significantly between individuals.
Will this test show if I took other barbiturates?
This specific test is designed to detect barbital. However, other barbiturates (such as phenobarbital, secobarbital, or amobarbital) may be detected depending on the testing method used. If your healthcare provider needs to check for multiple barbiturates, they may order additional specific tests.
Can diet or medications affect this test?
The confirmatory methods used for this test are highly specific and not typically affected by diet or other medications. However, it is important to inform your healthcare provider about all medications, supplements, and herbal products you are taking, as some substances may potentially interfere with drug tests.
Is this test the same as a workplace drug test?
This test may be part of a workplace drug testing program. However, workplace tests often screen for multiple drugs simultaneously. Your employer or testing program will determine which specific tests are included. The confirmatory method used provides more accurate and legally defensible results than initial screening tests.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy