: Cannabinoids (THC and THC-COOH) Panel, Confirmatory, Whole Blood
: 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.
[": 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."]
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?
: Could CBD products cause a positive result?
: Does this test measure impairment?
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