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Code deleted, see 80361

Official Description

Dihydromorphinone

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

A laboratory test identified by CPT® Code 82649 is utilized to measure the concentration of dihydromorphinone in the bloodstream. Dihydromorphinone is a highly potent narcotic analgesic, which is a type of medication used to relieve pain. It is derived from a hydrogenated ketone of morphine, making it chemically related to this well-known opioid. This medication is typically prescribed for individuals experiencing moderate to severe pain, providing significant relief in various clinical scenarios. Dihydromorphinone can be administered in different ways, including oral ingestion or through injection, depending on the patient's needs and the clinical setting. It is important to note that dihydromorphinone may be marketed under the brand name Dilaudid, which is recognized in the pharmaceutical industry. To perform this test, a blood sample is collected through a procedure known as venipuncture, which is separately reportable. The primary objective of this laboratory test is to quantify the amount of dihydromorphinone present in the blood, aiding healthcare providers in monitoring therapeutic levels and ensuring patient safety during treatment.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The laboratory test for dihydromorphinone, coded as CPT® 82649, is indicated for the following conditions:

  • Moderate to Severe Pain This test is performed to monitor the levels of dihydromorphinone in patients who are prescribed this potent analgesic for the management of moderate to severe pain.

2. Procedure

The procedure for testing dihydromorphinone involves several key steps that ensure accurate measurement of the drug's concentration in the blood.

  • Step 1: Patient Preparation Prior to the blood draw, the patient may be instructed to follow specific guidelines, such as fasting or avoiding certain medications, to ensure the accuracy of the test results.
  • Step 2: Venipuncture A qualified healthcare professional performs venipuncture, which involves inserting a needle into a vein, typically in the arm, to obtain a blood sample. This step is crucial as it provides the specimen needed for the laboratory analysis.
  • Step 3: Sample Handling Once the blood sample is collected, it is properly labeled and handled according to laboratory protocols to prevent contamination or degradation of the sample.
  • Step 4: Laboratory Analysis The blood sample is then sent to a laboratory where it undergoes analysis to quantify the amount of dihydromorphinone present. This may involve specific testing methodologies designed to accurately measure the drug's concentration.

3. Post-Procedure

After the procedure, patients may experience minimal discomfort at the venipuncture site, which typically resolves quickly. There are generally no specific post-procedure care instructions required for this test, but patients should be advised to monitor the site for any unusual symptoms, such as excessive bleeding or signs of infection. The results of the dihydromorphinone test will be communicated to the prescribing physician, who will interpret the findings in the context of the patient's overall treatment plan and pain management strategy.

Short Descr ASSAY OF DIHYDROMORPHINONE
Medium Descr ASSAY OF DIHYDROMORPHINONE
Long Descr Dihydromorphinone
Status Code Statutory Exclusion (from MPFS, may be paid under other methodologies)
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 9 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Items and Services Packaged into APC Rates
Type of Service (TOS) 5 - Diagnostic Laboratory
Berenson-Eggers TOS (BETOS) T1H - Lab tests - other (non-Medicare fee schedule)
MUE Not applicable/unspecified.
CCS Clinical Classification 233 - Laboratory - Chemistry and Hematology
Date
Action
Notes
2015-01-01 Deleted Code deleted, see 80361
2013-01-01 Changed Medium Descriptor changed.
Pre-1990 Added Code added.
Code
Description
Code
Description
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