Bismuth, Serum/Plasma

Test Code

BISM

Quest Code

8022

CPT Codes
83018

Preferred Specimen

1 mL serum collected in a no additive, trace metal-free (royal blue-top) tube

Minimum Volume

0.4 mL

Other Acceptable Specimens

Plasma collected in: EDTA trace metal-free (royal blue-top) tube OR sodium heparin trace metal-free (royal blue-top) tube

Instructions

Promptly centrifuge and separate serum or plasma into an acid-washed or metal-free plastic screw-cap vial

Transport Container

Acid-washed or trace metal-free plastic screw-cap vial

Transport Temperature

Room temperature

Specimen Stability

Room temperature: 30 days
Refrigerated: 30 days
Frozen: 30 days

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

Polymer gel separation tube (SST® or PST)

Methodology

Inductively Coupled Plasma/Mass Spectrometry (ICP/MS)

FDA Status
This test was developed and its performance characteristics have been determined by NMS Labs. It has not been cleared or approved by the US Food and Drug Administration.

Setup Schedule

Mon, Wed, Fri

Report Available

4 days

Clinical Significance

Bismuth can be found in the manufacturing of fusible alloys, electrical fuses, low-melting solders, silvering of mirrors and some dental techniques. Exposure to bismuth can lead to methemoglobinemia, nausea, vomiting, diarrhea, abdominal cramping and contact dermatitis.

Performing Laboratory

NMS Labs

200 Welsh Road

Horsham, PA 19044

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.