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Bismuth, Blood : 5374
Test CodeBISMHB or 5374
CPT Codes
83018
Instructions
Avoid taking bismuth preparations such as Pepto-Bismol for at least 1 week prior to collection. 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. 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: 4 mL whole blood collected in an EDTA trace metal-free (royal blue-top) tube
Minimum: 2 mL
Minimum: 2 mL
Transport Temperature
Refrigerated.
Specimen Stability
Room temperature: 48 hours; Refrigerated: 7 days; Frozen: Unacceptable
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis, Clotted specimen
Methodology
Inductively Coupled Plasma/Mass Spectrometry (ICP/MS)
Setup Schedule
Tuesday, Thursday, Saturday
Report Available
2-4 days
Reference Range
<0.5 mcg/L Nonexposed
4-30 mcg/L Therapeutic
>50 mcg/L Toxic
4-30 mcg/L Therapeutic
>50 mcg/L Toxic
Clinical Significance
Excessive use of bismuth containing medications may cause renal damage and other adverse effects.
Performing Laboratory
med fusion