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Cocaine Urine Drug Screen (Qualitative)

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

This test checks for the presence of cocaine or its metabolites in your urine, often ordered if you’ve struggled with substance use.

Quick summary

A simple urine test to detect cocaine use, useful for monitoring substance use patterns or supporting treatment decisions.

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

Key facts at a glance

LOINC
95483-4
Short code
HAVEYOUEVERTRIEDANDFAILEDTOCONTROLCUTDOWNORSTOPUSINGCOCAINE
Synonyms
—
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
nida
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 Might Be Ordered

Your healthcare provider may recommend this test if you’ve had difficulty controlling substance use, are in a treatment program, or are experiencing symptoms linked to cocaine exposure. It helps track progress or identify recent use.

How the Test Works

The test detects cocaine or its breakdown products (like benzoylecgonine) in your urine. A positive result means these substances were present recently, typically within the last few days.

What to Expect Before the Test

No special preparation is needed. You’ll provide a urine sample in a sterile container, often collected at a clinic or lab. Follow any instructions from your provider about fasting or hydration.

What the Results Mean

A positive result indicates recent cocaine use, while a negative result means no detectable levels were found. Results don’t confirm abstinence—other factors (like diet, medications, or recent exposure) could affect outcomes.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Results guide treatment planning, support addiction recovery programs, or assess compliance with substance use agreements. They’re also used in legal or workplace settings to evaluate substance use risks.

Short name

Drug Screen for Cocaine

Frequently asked questions

How long does it take to get results?
Results are typically available within 1–3 business days, depending on lab processing times. Your provider will contact you once they’re ready.
Can I drink water before the test?
Yes, but avoid excessive fluid intake, as it may dilute the sample. Follow your provider’s specific instructions if you’re unsure.
Does this test detect other drugs?
No, this test specifically screens for cocaine and its metabolites. Other drug screens (e.g., multi-drug urine tests) would be needed for broader detection.
  1. 1
    MedlinePlus — Laboratory TestsSource
  2. 2
    Lab Tests OnlineSource
  3. 3
    Mayo Clinic — Tests & ProceduresSource

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 16, 2026. · Read our editorial policy