Comprehensive Toxic Metal Panel, 24-Hour Urine : 37081

Test Code

CTMTHR or 37081

CPT Codes
82175, 83655, 83825, 82300, 83018 x2

Includes

Arsenic, Cadmium, Cobalt, Lead, Mercury, Thallium

Instructions

Avoid seafood consumption for 48 hours prior to collection. Avoid worksite collection. Collect urine in an acid-washed or metal-free plastic container. 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

Preferred:
7 mL aliquot of a well-mixed 24-hour urine collected in an acid-washed or metal-free container

Minimum: 3 mL

Transport Temperature

Refrigerated.

Specimen Stability

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

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

Setup Schedule

Monday -Saturday

Report Available

1-4 days

Reference Range

Arsenic, 24-Hour Urine ≤80 mcg/L

Lead, 24-Hour Urine <80 mcg/L

Mercury, 24-Hour Urine ≤20 mcg/L

Toxic: ≥150 mcg/L

Cadmium, 24-Hour Urine ≤5.0 mcg/L

Cobalt, 24-Hour Urine ≤2.0 mcg/L

Thallium, 24-Hour Urine ≤2 mcg/L

Toxic: >200 mcg/L

Clinical Significance

See Individual Test codes.

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.