Skip to content

Cannabinoid screening (qualitative) in serum/plasma

Published: August 9, 2026Updated: August 15, 2026

This test detects the presence of cannabinoids, the active compounds found in marijuana or cannabis, in your blood or plasma.

Quick summary

["This screening helps identify recent cannabis use, which may affect your health or medical treatment decisions."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
48943-5
Short code
CANCO
Synonyms
Cannabinoids Spec Ql Cfm
Category
chemistry
Sample
serum
Container
Red-top tube (no anticoagulant) or serum separator tube (SST); sterile urine container for urine specimens. For forensic testing, use chain-of-custody containers.
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
confirm
CPT
80349
SNOMED
314529007
Specimen volume
5-10 mL of blood (minimum 3 mL serum) for serum testing
Stability
Serum stable at room temperature for up to 24 hours; refrigerated (2-8°C) for up to 7 days; frozen (-20°C or below) for up to 3 months. Avoid repeated freeze-thaw cycles.
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
24–72 hours
Order
routine

Why Might This Test Be Ordered?

Your healthcare provider may order this test if you’ve been suspected of using cannabis recently, if you’re under legal testing (e.g., workplace, legal proceedings), or if symptoms like altered mood, memory issues, or physical coordination problems are reported.

What Does the Test Measure?

The test looks for specific cannabinoids, including THC (tetrahydrocannabinol) and its metabolites, which are detectable in blood/plasma for a short period after use.

Sample Collection and Preparation

A blood sample is drawn from a vein in your arm. The blood is processed to separate plasma (the liquid part) for testing. This test is typically done as part of a routine or urgent evaluation.

What Are Common Reasons for Testing?

Common reasons include confirming recent cannabis use for legal, occupational, or medical reasons, assessing symptoms that may be linked to cannabis exposure, or evaluating substance use patterns in clinical settings.

Reference range

Negative (not detected). Cutoff concentration for positive confirmation varies by laboratory and regulatory guidelines; typically ≥1 ng/mL for THC-COOH in serum.N/A

Specimen: serum

No fasting required. Specimen should be collected prior to administration of medications or substances when possible. Chain of custody documentation is required for forensic or workplace drug testing. Patient should be informed of testing purpose and consent obtained where applicable.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Positive results may indicate recent cannabis use and could influence treatment plans, especially if you’re taking medications that interact with cannabinoids or if symptoms suggest impairment. However, results alone should not be used to diagnose a substance use disorder without further evaluation.

Short name

Cannabinoid Screen (Serum/Plasma)

Frequently asked questions

How Long Does It Take to Get Results?
Results are usually available within 1–3 business days, depending on lab processing times. Follow-up with your healthcare provider for interpretation.
What If My Results Are Positive?
A positive result suggests recent cannabis exposure. Discuss next steps with your provider, who may recommend further testing (e.g., urine or saliva) or additional medical evaluation to understand the impact on your health.
Can I Avoid This Test?
No, this test is not optional. If ordered, it is a standard part of the evaluation process and cannot be bypassed without medical justification.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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 15, 2026. · Read our editorial policy