Nickel, 24-Hour Urine

Test Code

36443

CPT Codes
83885

Includes

CPT code 81050 may be added at an additional charge for volume measurement

Preferred Specimen

7 mL of a well-mixed 24-hour urine collected in an acid-washed or metal-free container

Minimum Volume

3 mL

Other Acceptable Specimens

Please note: 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.

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

Room temperature: 48 hours
Refrigerated: 30 days
Frozen: 30 days

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; Report available: Next day

Reference Range

Occupationally non-exposed individuals	1.5-13.0 mcg/L
Healthy individuals in electroplating	10.0-120.0 mcg/L

Clinical Significance

Nickel toxicity is associated with allergy, asthma, urticaria, erythema multiforme, contact dermatitis, and hand eczema.

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.