HEAVY METALS 4, WHOLE BLOOD | |
| This test is a lab developed test. For further information, see the Compliance Remarks section below. |
| Synonyms | Arsenic, Blood; Lead, Blood; Mercury, Blood; Cadmium Blood | | SPECIMEN REQUIREMENTS | | | Container Type | Royal blue top tube (metal free EDTA) | | Supply Item Number | 9734 | | Specimen Type | Whole blood | | Patient Prep | Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, nonessential over-the-counter medications (upon the advice of their physician) and avoid shellfish and seafood for 48-72 hours before collection. | | Store and Transport | Ambient (room temperature) | | Stability | Room Temp 1 week Refrigerated 2 weeks | | Unacceptable Condition | Heparin anticoagulant | | Limitations | Mercury is volatile; concentration may reduce after seven or more days of storage. If the specimen is drawn and stored in the appropriate container, the arsenic and lead values do not change with time. | | Reference Laboratory | PAML | | CPT Codes | 82175, 83655, 83825, 82300 | | Interface Order Code | 84999.Z654 | | Billing Code | HMTL4 | | Test Schedule | Mon-Fri | | Turnaround Time | 1-3 days | | Method | Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) | | Reference Ranges | | Title | Ranges | Units | | Arsenic, Blood | 0.0-13.0 | ug/L | | Mercury, Whole Blood | 0.0-10.0 | ug/L | | Lead, Blood | 0.0-5.0 | ug/dL | | Cadmium, Blood | 0.0-5.0 | ug/L |
| | Compliance Remarks | This test was developed and its performance characteristics determined by PAML. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. |
| Interface Codes | | type | order code | test description | result code | result description | units | decimal places | loinc code | | o | 84999.Z654 | Heavy Metals 4, Whole Blood | | r | 84999.Z654 | Heavy Metals 4, Whole Blood | 82175.Z23 | Arsenic, Whole Blood | ug/L | 1 | 5583-0 | | r | 84999.Z654 | Heavy Metals 4, Whole Blood | 82300.Z19 | Cadmium, Whole Blood | ug/L | 1 | 5609-3 | | r | 84999.Z654 | Heavy Metals 4, Whole Blood | 83655.Z20 | Lead, Whole Blood | ug/dL | 1 | 77307-7 | | r | 84999.Z654 | Heavy Metals 4, Whole Blood | 83825.Z17 | Mercury, Whole Blood | ug/L | 1 | 5685-3 |
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