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Acetamincodeineserplql

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

This test checks for the presence of acetaminophen and codeine in your blood to monitor medication levels or detect overdose.

Quick summary

{"The test measures both acetaminophen (pain reliever) and codeine (opioid pain medication) in your blood","It helps doctors ensure your medication dose is safe and effective","The test may be ordered if you have symptoms of overdose or are taking both medications together","A blood sample is drawn from your arm for testing","Results help healthcare providers manage your pain treatment safely"}

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

Key facts at a glance

LOINC
43720-2
Short code
ACET-CODE
Synonyms
Acetamin+Codeine SerPl Ql
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
≥ 0 years
Method
Immunoassay with confirmation by mass spectrometry
CPT
80307
SNOMED
39873001
Specimen volume
1 mL minimum, 2 mL preferred
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C): 30 days
Hemolysis max
50
Lipemia max
100
Icterus max
20
TAT
24–72 hours
Order
routine

What is this test?

The Acetaminophen and Codeine test is a blood test that detects whether both acetaminophen (also known as Tylenol or paracetamol) and codeine are present in your bloodstream. These are two common pain medications that are sometimes prescribed together for moderate to severe pain management.

Why do I need this test?

Your healthcare provider may order this test for several reasons: to monitor if you have therapeutic levels of the medication in your system, to check for accidental or intentional overdose, to ensure you are taking your medications as prescribed, or to evaluate unexplained symptoms such as nausea, dizziness, or liver problems while on these medications.

How is the test performed?

A healthcare professional will draw a small blood sample from a vein in your arm using a needle. The blood will be collected in a tube and sent to a laboratory for analysis. The test looks for the presence or absence of acetaminophen and codeine in your serum or plasma. You do not need to fast before this test unless your doctor specifically instructs you to do so.

What do the results mean?

The test result will typically indicate whether acetaminophen and codeine are detected or not detected in your blood. If detected, it means the medications are present in your system. Your doctor will interpret these results based on when you took your last dose, your medical history, and your symptoms. Therapeutic levels mean your medication is within the expected range, while very high levels may indicate an overdose requiring immediate medical attention.

Are there any risks?

The risks associated with this blood test are minimal and include slight pain or bruising at the needle site, bleeding, and in rare cases, infection. These risks are similar to any standard blood draw procedure.

Reference range

Not Detected; Positive results indicate presence of acetaminophen and/or codeine above assay cutoffN/A

Specimen: serum

No fasting required. Inform laboratory of any prescription, over-the-counter medications, or supplements within 72 hours prior to collection. Recent ingestion of opioid-containing medications may yield positive result.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

How long do acetaminophen and codeine stay in my blood?
Acetaminophen typically remains detectable in blood for about 24-48 hours after the last dose, though this can vary. Codeine is usually detectable for about 24 hours. The exact duration depends on factors like your metabolism, liver function, dosage, and how long you have been taking the medication.
What happens if my test shows high levels?
If your test shows dangerously high levels of acetaminophen or codeine, your healthcare provider will immediately initiate appropriate treatment. For acetaminophen overdose, this may include administering N-acetylcysteine (NAC), a medication that helps prevent liver damage. For codeine overdose, treatment may include respiratory support and possibly naloxone, an opioid reversal medication. In severe cases, hospitalization may be necessary.
Do I need to stop taking my medication before the test?
You should NOT stop taking your prescribed medications unless your healthcare provider specifically instructs you to do so. This test is often used to verify that you have therapeutic levels of your medication in your system. Always follow your doctor's instructions regarding medication use before the test.
Can this test detect other pain medications?
No, this specific test is designed to detect only acetaminophen and codeine. If your doctor needs to check for other medications or substances, they will order separate tests. There are different tests available to detect various medications, drugs, and substances in the blood.
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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