Lead, Venous : 599

Test Code
LEADVS or 599


CPT Codes
83655

Instructions
Collection material such as alcohol swabs should be lead-free. Use powderless gloves. Once washed, fingers must not come into contact with any surface. Clean skin (area for venipuncture) with lead-free alcohol swab prior to puncture. Avoid worksite collection.
     
Lead testing will not be performed on a specimen submitted in a non-trace element tube or non acid-washed/non metal-free container.


Transport Container
Preferred Specimen
3 mL whole blood collected in a K2 EDTA (tan-top) tube

Minimum Volume
0.2 mL
  
Alternative:
Whole blood collected in: Sodium heparin lead-free (tan-top) tube, EDTA (royal blue-top) tube, or sodium heparin (royal blue-top) tube


Transport Temperature
Room temperature.


Specimen Stability
Room temperature: 5 days; Refrigerated: 14 days; Frozen: 60 days


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


Methodology
Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) or Atomic Spectroscopy (AS)

Setup Schedule
Tuesday - Saturday


Report Available
2 days


Reference Range
Birth-6 years        <3.5 mcg/dL
>6 years               <3.5 mcg/dL
Blood lead levels in the range of 5-9 mcg/dL have been associated with adverse health effects in children aged 6 years and younger. Patient management varies by age and CDC Blood Level Range. Refer to the CDC website regarding Lead Publications/Case Management for recommended interventions.


Clinical Significance
Blood lead level analysis is performed to evaluate the body burden of lead.


Performing Laboratory
med fusion



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.