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Free Codeine Concentration in Serum

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

This test measures the amount of free (unbound) codeine in your blood serum. Codeine is a pain reliever and cough suppressant that your body converts into morphine.

Quick summary

["Understanding your free codeine levels helps doctors assess how your body processes this medication."]

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

Key facts at a glance

LOINC
97237-2
Short code
Codeine Free TissCo Ql Cfm
Synonyms
Codeine Free TissCo Ql Cfm
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
confirm
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your healthcare provider may order this test if you’re taking codeine for pain, cough, or other conditions. It helps determine how much of the drug is actively working in your bloodstream, which can be important for managing side effects or adjusting doses.

How the Test Works

Blood is drawn from a vein, usually in your arm. The sample is then analyzed using a specialized laboratory method to measure free codeine levels, which are separated from other substances in your blood.

What to Expect Before the Test

No special preparation is needed, but let your doctor know if you’re taking other medications, have allergies, or are pregnant. Avoid eating or drinking anything for at least 8–12 hours before the test if instructed.

What to Expect During the Test

The test involves a quick blood draw, typically taking less than 5 minutes. You may feel slight discomfort, but it usually doesn’t cause pain. You can resume normal activities immediately afterward.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Free codeine levels help identify whether your dose is too high or too low. High levels may indicate poor metabolism, potential toxicity, or interactions with other medications. Low levels might suggest the drug isn’t working effectively, requiring dose adjustments. This is especially important for patients with liver or kidney issues, as these organs play a key role in breaking down codeine.

Short name

Free Codeine Level

Frequently asked questions

How long does it take to get results from this test?
Results are usually available within 1–3 business days, depending on your lab’s processing time. Your healthcare provider will discuss them with you during your follow-up visit.
Can I eat or drink anything before this test?
Check with your doctor or lab technician for specific instructions, but generally, avoid food/drink for 8–12 hours before testing to ensure accurate results.
Is this test painful?
The blood draw is quick and may cause mild discomfort, but it’s not typically painful. Most people feel fine afterward and can return to normal activities immediately.
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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