Lead, Urine

Message
ACID WASH CONTAINER IN PROCESSING


Test Code
601


Alias/See Also
LAB404


CPT Codes
83655, 82570

Includes
Creatinine


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


Minimum Volume
3 mL


Instructions
Avoid worksite collection. Collect urine in an acid-washed or metal-free plastic container.

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


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)

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 FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Reference Range
Lead, Urine
Non-exposed Adult <10 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
Elevated urinary lead concentration is indicative of chronic lead toxicity. Urinary lead concentrations may be used to monitor detoxification therapy.


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.