Zinc Protoporphyrin (ZPP)

Message
WHOLE BLOOD - DO NOT CENTRIFUGE


Test Code
948


Alias/See Also
LAB1085
ZZP


CPT Codes
84202

Preferred Specimen
2 mL whole blood collected in an EDTA (tan-top) tube


Minimum Volume
0.5 mL • Pediatric specimen: 0.2 mL


Other Acceptable Specimens
Whole blood collected in: EDTA (royal blue-top) tube, sodium heparin (royal blue-top) tube, sodium heparin (green-top) tube, or lithium heparin (green-top) tube


Instructions
Use a lead-free tube if blood lead is also requested


Transport Container
EDTA (tan-top) tube


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 4 days
Refrigerated: 10 days
Frozen: Unacceptable


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


Methodology
Hematofluorometry

Setup Schedule
Mon-sat


Limitations
Aluminum and anemia of chronic disease may cause elevated results.


Reference Range
Industrial Exposure <100 mcg/dL
(Refer to current OSHA regulation for exposure criteria.)


Clinical Significance
Zinc protoporphyrin (ZPP) accumulates in erythrocytes as a result of chronic lead absorption or iron deficiency anemia.


Performing Laboratory
Quest Diagnostics Nichols Institute-Chantilly VA
14225 Newbrook Drive
Chantilly, VA 20151-2228




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.