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: Cannabinoids (THC and THC-COOH) Panel, Confirmatory, Whole Blood

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

: This test looks for marijuana-related substances—delta-9 THC and its breakdown product THC-COOH—in a whole-blood sample using a confirmatory laboratory method. It is typically used to verify a screening result or to document recent cannabis exposure.

Quick summary

[": A confirmed detection of THC and its metabolite in whole blood generally indicates recent cannabis use, and results should be interpreted by a clinician in context."]

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

Key facts at a glance

LOINC
107613-2
Short code
THC1/THC2 IC Pnl Bld FC
Synonyms
THC1/THC2 IC Pnl Bld FC
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
flow-cytometry
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

: What Is Being Measured

: The test measures two related substances: delta-9 tetrahydrocannabinol (THC), the main active ingredient in cannabis, and 11-nor-9-carboxy-THC (THC-COOH), the primary inactive metabolite your body produces as it breaks THC down. Whole blood is used, which reflects substances present in the bloodstream at the time of collection.

: Why a Confirmatory Test Is Used

: Initial screening tests are fast but can occasionally give false positives, for example from certain other compounds. A confirmatory method, often based on chromatography coupled with mass spectrometry, re-analyzes the sample with greater chemical specificity so that a positive finding is more reliable.

: How the Sample Is Collected

: A blood specimen is drawn from a vein, usually in the arm, by a trained phlebotomist. Whole blood is collected in a tube containing preservative and anticoagulant. No special preparation is usually required, though you should tell the collector about any cannabis or CBD products you use.

: What Results Can Mean

: A confirmed positive result suggests recent cannabis exposure; THC-COOH tends to remain detectable longer than THC itself. A negative result means these substances were not detected above the test's limit. Detection windows vary widely between people and depend on dose, frequency, body composition, and individual metabolism, so results cannot pinpoint exactly when or how much was used.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

: THC Confirmation, Blood

Frequently asked questions

: Can a positive result tell how much marijuana I used?
: No. Blood levels depend on many factors, including dose, frequency of use, time since last use, and individual metabolism, so the test cannot reliably estimate the amount used or when it was used.
: Could CBD products cause a positive result?
: Some CBD products contain small amounts of THC, and heavy use could potentially contribute to a detectable result. Tell your clinician about all cannabis-derived products you use so results can be interpreted correctly.
: Does this test measure impairment?
: No. It detects the presence of THC and its metabolite but does not establish whether you were impaired at any given time; impairment assessment requires clinical evaluation.
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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