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Copper : 363
Test CodeCOPRSE or 363
CPT Codes
82525
Instructions
Separate serum or plasma from cells within two hours. Transfer separated plasma/serum to a plastic acid-washed or metal-free vial.
Transport Container
Preferred
2 mL plasma collected in an EDTA (royal blue-top) tube or heparin (royal blue-top) tube
Alternative Specimen
Serum collected in: No additive (royal blue-top) tube
Minimum Volume: 0.7 mL
2 mL plasma collected in an EDTA (royal blue-top) tube or heparin (royal blue-top) tube
Alternative Specimen
Serum collected in: No additive (royal blue-top) tube
Minimum Volume: 0.7 mL
Transport Temperature
Room temperature.
Specimen Stability
Room temperature: 5 days; Refrigerated: 10 days; Frozen: 30 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis; Serum or plasma not separated from cells; Samples submitted in non-trace metal or non-acid washed containers
Methodology
Inductively Coupled Plasma/Mass Spectrometry (ICP/MS)
Setup Schedule
Monday - Saturday
Report Available
1-4 days
Reference Range
Reference Range
≤5 Months 38-104 mcg/dL
6-11 Months 24-152 mcg/dL
12 Months-23 Months 76-193 mcg/dL
1-3 Years 87-187 mcg/dL
4-5 Years 56-191 mcg/dL
6-9 Years 117-181 mcg/dL
10-13 Years 87-182 mcg/dL
14-17 Years 75-187 mcg/dL
≥18 Years 70-175 mcg/dL
Clinical Significance
Copper is an essential element that is a cofactor of many enzymes. Copper metabolism is disturbed in Wilson's disease, Menkes disease, primary biliary cirrhosis, and Indian childhood cirrhosis. Copper concentrations increase in acute phase reactions and during the third trimester of pregnancy. Copper concentrations are decreased with nephrosis, malabsorption, and malnutrition. Copper concentrations are also useful to monitor patients, especially preterm newborns, on nutritional supplementation. Results of copper are often interpreted together with ceruloplasmin.
Performing Laboratory
med fusion