Cadmium, Blood

Test Code
CAD


Preferred Specimen
4 mL whole blood collected in an EDTA (royal blue-top) tube


Minimum Volume
2 mL


Other Acceptable Specimens
Sodium heparin (royal blue-top) tube

Tests performed on a specimen submitted in a non-trace element tube or non acid-washed/non metal-free container may not accurately reflect the patient's level. If a non-trace element tube/container is received, it will be accepted for testing. However, elevated results shall be reported with a message that re-submission with a trace element tube/container is recommended.


Instructions

Avoid worksite collection. Phlebotomist should wear powderless gloves.



Transport Container
EDTA (royal blue-top) tube


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 14 days
Refrigerated: 14 days
Frozen: 14 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Clotted specimen


Methodology
Inductively Coupled Plasma/Mass Spectrometry (ICP/MS)

Setup Schedule
a.m. Mon-Fri


Report Available
2 days


Limitations
Test is indicated during periods of exposure.


Reference Range
Adults, Non-Smokers ≤1.7 mcg/L
Adults, Smokers ≤5.0 mcg/L
OSHA Reference Range ≤5.0 mcg/L
Toxic Concentration Early signs of toxicity have been observed at 30 mcg/L


Clinical Significance
Cadmium is a naturally occurring element that is mined and used in industrial production because of its durability. Excessive cadmium exposure can damage lungs, kidneys, and the digestive tract.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.