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Test ID BLOD0354 Heavy Metals Screen with Demographics, Blood

Useful For

Detecting exposure to arsenic, lead, cadmium, and mercury

Profile Information

Test ID Reporting Name Available Separately Always Performed
ASB Arsenic, B Yes Yes
PBHMB Lead, B Yes, (Order PBDB) Yes
CDB Cadmium, B Yes Yes
HG Mercury, B Yes Yes
DEMO6 Patient Demographics No Yes

Method Name

Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)

Reporting Name

Heavy Metals Scrn with Demographics

Specimen Type

Whole blood


Specimen Required


Patient Preparation: High concentrations of gadolinium and iodine are known to interfere with most metals tests. If either gadolinium- or iodine-containing contrast media has been administered, a specimen should not be collected for 96 hours.

Container/Tube: Royal blue-top (EDTA) Vacutainer plastic trace element blood collection tube (T183)

Specimen Volume: Full tube

Collection Instructions:

1. See Trace Metals Analysis Specimen Collection and Transport in Special Instructions for complete instructions.

2. Send specimen in original collection tube.

Additional Information: If ordering the trace element blood collection tube from BD, order catalog #368381.


Specimen Stability Information

Specimen Type Temperature Time
Whole blood Refrigerated (preferred) 28 days
  Ambient  28 days
  Frozen  28 days

Reject Due To

Hemolysis

Mild OK; Gross OK

Lipemia

Mild OK; Gross OK

Icterus

Mild OK; Gross OK

Other

Green-top (heparin) tube

Day(s) and Time(s) Performed

Monday through Saturday; 2 p.m.

Analytic Time

1 day

Performing Laboratory

Mayo Medical Laboratories in Rochester

Test Classification

See Individual Test IDs

CPT Code Information

82175-Arsenic

82300-Cadmium

83655-Lead

83825-Mercury

LOINC Code Information

Test ID Test Order Name Order LOINC Value
HMDB Heavy Metals Scrn with Demographics In Process

 

Result ID Test Result Name Result LOINC Value
32190 Arsenic, B 5583-0
8682 Cadmium, B 5609-3
8618 Mercury, B 5685-3
2588 Lead, B 5674-7
VECP6 Venous/Capillary 31208-2
PTAD6 Patient Street Address 56799-0
PTCI6 Patient City 68997-6
PTST6 Patient State 46499-0
PTZI6 Patient Zip Code 45401-7
PTCN6 Patient County 87721-7
PTPH6 Patient Home Phone 42077-8
PTRA6 Patient Race 32624-9
PTET6 Patient Ethnicity 69490-1
PTOC6 Patient Occupation 11341-5
PTEM6 Patient Employer 80427-8
GDFN6 Guardian First Name 79183-0
GDLN6 Guardian Last Name 79184-8
MDOR6 Health Care Provider Name 52526-1
MDAD6 Health Care Provider Street Address 74221-3
MDCI6 Health Care Provider City 52531-1
MDST6 Health Care Provider State 52532-9
MDZI6 Health Care Provider Zip Code 87720-9
MDPH6 Health Care Provider Phone 68340-9
LABP6 Submitting Laboratory Phone 65651-2

Specimen Minimum Volume

0.3 mL

Reference Values

ARSENIC

0-12 ng/mL

Reference values apply to all ages.

 

LEAD

All ages: 0.0-4.9 mcg/dL

Critical values

Pediatrics (≤15 years): ≥20.0 mcg/dL

Adults (≥16 years): ≥70.0 mcg/dL

 

CADMIUM

0.0-4.9 ng/mL

Reference values apply to all ages.

 

MERCURY

0-9 ng/mL

Reference values apply to all ages.

Forms

Lead/Heavy Metals Reporting Form (T491)

Testing Algorithm

See Porphyria (Acute) Testing Algorithm in Special Instructions.