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6mamfldqlscn

Published: August 9, 2026Updated: August 10, 2026

This test detects 6-monoacetylmorphine (6-MAM), a specific breakdown product of heroin that remains in your body fluids.

Quick summary

{"6-MAM is a unique marker that shows recent heroin use","It can be detected in blood/serum for up to 24-48 hours after use","This test is commonly used in drug screening programs and clinical settings"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 10, 2026Editorial policy

Key facts at a glance

LOINC
78760-6
Short code
6MAM
Synonyms
6MAM Fld Ql Scn
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or plain red top tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 18 years
Method
screen
CPT
80307
SNOMED
398736005
Specimen volume
5-10 mL whole blood (yielding 2-4 mL serum)
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C): 30 days
Hemolysis max
50
Lipemia max
300
Icterus max
20
TAT
24–72 hours
Order
routine

What is this test?

The 6-MAM test looks for 6-monoacetylmorphine in your body fluid (usually blood/serum). 6-MAM is a unique substance that your body produces when you use heroin. Unlike other opioid drugs, only heroin breaks down into 6-MAM, making it a specific marker for heroin use.

Why do I need this test?

Your healthcare provider may order this test for several reasons: to check for recent heroin use, as part of a comprehensive drug screening program, to monitor patients in substance abuse treatment, or in certain clinical situations where understanding opioid use is important for your care.

How is the test performed?

A healthcare professional will collect a blood sample from a vein in your arm. The sample is then sent to a laboratory where it is analyzed using specialized equipment to detect the presence of 6-MAM.

What do the results mean?

A 'positive' result means 6-MAM was detected in your sample, indicating recent heroin use (typically within the last 24-48 hours). A 'negative' result means no 6-MAM was detected, but this does not necessarily mean no opioid use—it only means no heroin use was detected within the detection window.

Reference range

Negative - 6-MAM not detected (cutoff: 10 ng/mL)N/A

Specimen: serum

No special preparation required. Inform patient that this is a drug screen and consent may be required. Provide chain of custody documentation if required for legal/occupational testing.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

How long does 6-MAM stay in my system?
6-MAM has a relatively short detection window. It is typically detectable in blood for about 24-48 hours after heroin use, though this can vary based on individual factors like metabolism, dose, and frequency of use.
Will this test show if I use other pain medications?
No. This test is specifically designed to detect 6-MAM, which is only produced when heroin is metabolized. Other prescription pain medications like oxycodone, morphine, or hydrocodone will not cause a positive 6-MAM result.
Is the test confidential?
Yes, like all medical tests, your 6-MAM results are protected by privacy laws and are part of your confidential medical record. Results are only shared with authorized healthcare providers involved in your care.
What happens if my test is positive?
If your test is positive, your healthcare provider will discuss the results with you and determine appropriate next steps. This may include counseling, referral to addiction treatment programs, or adjustments to your treatment plan depending on the clinical situation.
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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 10, 2026. · Read our editorial policy