Cadmium, Blood

Test Code

299

CPT Codes
82300

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

Instructions

Avoid worksite collection. Phlebotomist should wear powderless gloves.

Tests performed on a specimen submitted in a non-trace element tube/container (non-acid washed) 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.

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)

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule

Set up: Tues-Sat p.m.; Report available: Next day

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.

Performing Laboratory

Quest Diagnostics Nichols Institute

14225 Newbrook Drive

Chantilly, VA 20153

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.