LOINCActiveObservation

LOINC Code 78857-0: Methadone (U) [Z-score]

78857-0 is a LOINC code used to identify Methadone (U) [Z-score] in laboratory and clinical observation data. You may see this code in lab systems, lab reports, EHR exports, interoperability feeds, or other structured clinical data exchanges. LOINC codes identify tests, measurements, observations, survey items, and clinical questions in a standardized way. It is associated with the component Methadone. It is commonly used with the system or sample type Urine.

Reviewed by HealthAssure Clinical TeamUpdated 21 May 2026

What is this code?

LOINC codes identify tests, measurements, observations, survey items, and clinical questions in a standardized way. It is associated with the component Methadone. It is commonly used with the system or sample type Urine.

When is it used?

  • Used in lab systems, EHRs, and clinical data exchange.
  • May identify a test, observation, survey item, or clinical document request rather than a diagnosis.
  • Status: ACTIVE
  • Order vs observation: Observation

What it does not mean

  • The code identifies the observation or test, not the actual result.

Key facts

  • Methadone [Z-score] in Urine
  • Methadone
  • This term represents the patient's drug level normalized for urine creatinine and lean body mass. It was created for, but not limited in use to, the Ameritox Medication Monitoring system, which assesses a patient's medication compliance by comparing the patient's result to a reference database of results from chronic pain patients who were known to be adherent to their medication regimen. In order to compare to the reference database, the patient's result is first normalized based on urine creatinine and lean body mass using a proprietary algorithm, and then the normalized result is converted to a Z-score based on the reference population.
  • Addiction; Dolophin; Dolophine; DRUG/TOXICOLOGY; Drugs; Drugs of abuse; Illicit; METD; Methadose; MTD; Point in time; PotentialForAbuse; QNT; Quan; Quant; Quantitative; Random; Standard score; UA; UR; Urn; Z score; Z value; Z-score

Where you may see this code

You may see this code in lab systems, lab reports, EHR exports, interoperability feeds, or other structured clinical data exchanges.

Common synonyms

Methadone (U) [Z-score]Methadone [Z-score] in UrineMethadone Z-score UrMethadoneDRUG/TOXMethadone, UrineZscore

Frequently asked questions

Code details

Code78857-0
SystemLOINC
Display nameMethadone (U) [Z-score]
DescriptionMethadone
Short nameMethadone Z-score Ur
ComponentMethadone
PropertyZscore
TimingPt
System (specimen)Urine
ScaleQn
ClassDRUG/TOX
Example unitsZscore
StatusACTIVE
Order/ObservationObservation

Flags

BillableNo
Valid clinical useNo

Source

SourceLOINC
Version2.82
Releasemain
First released2.54
Last changed2.58

Consumer names

Methadone, Urine

Part names

MethadoneZscorePtUrineQnZ-scorePoint in time (spot)

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from LOINC. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.

LOINC Code 78857-0 | HealthAssure