Bismuth, Random Urine

Test Code

6060

CPT Codes
83018, 82570

Includes

Creatinine

Preferred Specimen

7 mL random urine collected in an acid-washed or metal-free container

Patient Preparation
Avoid taking mineral supplements and bismuth preparations such as Pepto-Bismol™ for at least 1 week prior to collection.

Minimum Volume

3 mL

Other Acceptable Specimens

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 a re-submission with a trace element tube/container is recommended.

Instructions

Collect urine in an acid-washed or metal-free plastic container

Transport Container

Acid-washed plastic urine container

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

Room temperature: 48 hours
Refrigerated: 5 days
Frozen: 14 days

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

Reference Range

Bismuth, Random Urine

Non-exposed Adult

≤7.4 mcg/g creat

Creatinine, Random Urine

≤6 Months	2-28 mg/dL
7-11 Months	2-31 mg/dL
1-2 Years	2-110 mg/dL
3-8 Years	2-130 mg/dL
9-12 Years	2-160 mg/dL
>12 Years Male	20-320 mg/dL
>12 Years Female	20-275 mg/dL

Clinical Significance

Excessive use of Bismuth containing medications may cause renal damage and other adverse effects.

Performing Laboratory

Quest Diagnostics Nichols Institute

27027 Tourney Road

Valencia, CA 91355-5386

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.