Cocaine metabolite screening (24-hour urine)
This test measures the presence of cocaine metabolites in your urine over a 24-hour period to detect recent cocaine use.
["Detects recent cocaine exposure through urine analysis over a full day."]
Key facts at a glance
- LOINC
- 111229-1
- Short code
- Cocaine Msmt Ur
- Synonyms
- Cocaine Msmt Ur
- Category
- chemistry
- Sample
- urine
- Container
- Sterile urine container
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Specimen volume
- 10 mL
- Stability
- Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
- Hemolysis max
- 0
- Lipemia max
- 0
- Icterus max
- 0
- TAT
- 4–24 hours
- Order
- routine
Why This Test Is Done
Your healthcare provider may order this test if you have symptoms of cocaine use, such as rapid heartbeat, anxiety, or trouble sleeping. It could also be part of a routine screening, pre-employment check, or legal requirement. Some people take this test to monitor substance use before treatment begins or to check for drug use in certain settings like work or school.
What to Expect Before the Test
No special preparation is needed. You’ll provide a urine sample in a private area. If this is part of a workplace or legal screening, follow any specific instructions your employer or organization provides. Avoid drinking excessive water before the test, as it may dilute the sample.
What the Test Results Mean
Positive results indicate recent cocaine use, while negative results suggest no detectable cocaine metabolites in your urine over the past 24 hours. However, results alone don’t confirm the exact amount or timing of use. Follow-up testing or additional questions may be needed for a full assessment.
Possible Risks and Considerations
There are no major risks associated with this test. However, false positives can sometimes occur due to other substances or medications. If you’re unsure about your medical history or taking other drugs, let your healthcare provider know to avoid confusion in results.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
This test helps identify recent cocaine exposure, which can guide treatment decisions, monitor substance use disorders, or assess compliance with treatment plans. It’s also used in legal contexts to determine drug use. However, results should always be interpreted alongside clinical judgment and patient history.
Short name
None
Frequently asked questions
What does a positive result mean?
Can false positives happen?
How soon after use will the test show results?
Sources
- 1
- 2Lab Tests OnlineSource
- 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.
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