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Cannabinoid Concentration in Serum (Screening)

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

This test measures the presence of cannabinoids, the active compounds found in cannabis, in your blood serum. It helps detect recent use of marijuana or related substances.

Quick summary

["This screening can help assess recent cannabis exposure or potential substance use."]

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

Key facts at a glance

LOINC
74157-9
Short code
CANNAB
Synonyms
Cannabinoids SerPlBld Ql Scn
Category
chemistry
Sample
serum
Container
Red-top serum tube (no anticoagulant) or plasma tube (EDTA, heparin); glass tubes preferred to avoid plasticizer adsorption for confirmatory testing
Units
N/A
Ref low
10
Ref high
50
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
screen
CPT
80307
SNOMED
314529007
Specimen volume
5-10 mL of whole blood yielding 2-5 mL of serum or plasma
Stability
Serum/plasma stable for 24 hours at room temperature (20-25°C), 7 days refrigerated at 2-8°C, and up to 30 days frozen at -20°C or colder. For prolonged storage, -70°C is recommended.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may order this test if they suspect recent marijuana use, especially in cases involving impairment, legal concerns, workplace safety, or pre-surgery evaluations. It can also be part of a broader substance use assessment.

What to Expect Before the Test

No special preparation is typically needed. You may be asked to fast for a few hours before the blood draw, but this is not always required for cannabinoid screening. Wear comfortable clothing and plan for the time needed to draw blood.

What Happens During the Test

A healthcare professional will collect a small amount of blood from a vein in your arm. You may feel a slight pinch, but it usually doesn’t cause significant discomfort. The process takes a few minutes.

What the Results Mean

Results are qualitative (positive or negative) and indicate whether cannabinoids were detected in your blood. Positive results suggest recent cannabis use, but they don’t specify the type or amount consumed. Follow-up testing may be needed for confirmation or further details.

Reference range

Negative (cutoff typically 10-50 ng/mL depending on laboratory and assay used; commonly 20 ng/mL for THC metabolites in serum/plasma)N/A

Specimen: serum

No fasting required. Patient should be informed that cannabinoids may be detectable for days to weeks after use depending on frequency of use, metabolism, and body fat composition. Informed consent may be required for forensic or employment-related testing.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Cannabinoid Screen (Serum)

Frequently asked questions

What does a positive result mean?
A positive result means cannabinoids were detected in your blood, indicating recent use of cannabis or related substances. This does not specify how much or what type was consumed, but it can help guide further evaluation or next steps.
Can I drink alcohol before this test?
Alcohol does not typically interfere with cannabinoid screening, but avoid heavy alcohol consumption before blood tests to ensure accurate results. Follow your healthcare provider’s specific instructions.
How long will it take to get my results?
Results are usually available within 1–3 business days, depending on your lab and testing protocols. Your healthcare provider will contact you with the results once they are ready.
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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