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HEAVY METALS 4, WHOLE BLOOD

Test Code
HMTL4
 
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
TitleRangesUnits
Arsenic, Blood0.0-13.0ug/L
Mercury, Whole Blood0.0-10.0ug/L
Lead, Blood0.0-5.0ug/dL
Cadmium, Blood0.0-5.0ug/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
typeorder codetest descriptionresult coderesult descriptionunitsdecimal placesloinc code
o84999.Z654Heavy Metals 4, Whole Blood
r84999.Z654Heavy Metals 4, Whole Blood82175.Z23Arsenic, Whole Bloodug/L15583-0
r84999.Z654Heavy Metals 4, Whole Blood82300.Z19Cadmium, Whole Bloodug/L15609-3
r84999.Z654Heavy Metals 4, Whole Blood83655.Z20Lead, Whole Bloodug/dL177307-7
r84999.Z654Heavy Metals 4, Whole Blood83825.Z17Mercury, Whole Bloodug/L15685-3

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