Nickel, Random Urine

Test Code
5215


Alias/See Also
LAB00393


CPT Codes
83885, 82570

Includes
Creatinine


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


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


Instructions
Avoid worksite collection. 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: 7 days
Frozen: 28 days


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

Reference Range
Nickel, Random Urine
Non-exposed Adult  
  Male 1.2-6.2 mcg/g creat
  Female 2.2-10.2 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
Nickel toxicity is associated with allergy, asthma, urticaria, erythema multiforme, contact dermatitis, and hand eczema.


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.