Heavy Metals Panel with Cadmium, 24-Hour Urine : 35386

Test Code
HMCDHR or 35386


CPT Codes
82175, 82300, 83655, 83825

Includes
Arsenic, Cadmium, Lead, Mercury


Instructions
Avoid seafood consumption for 48 hours prior to collection. Avoid worksite collection. Collect urine in 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 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


Cadmium, 24-Hour Urine             ≤5.0 mcg/L



Clinical Significance
Excessive exposure to heavy metals can cause acute chronic toxicity. Heavy metals panel is intended to evaluate and monitor exposure to heavy metals and evaluate the process of detoxification. Excessive cadmium exposure can damage lungs, kidneys, and the digestive tract.


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.