Bismuth, Blood : 5374

Test Code
BISMHB 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


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


Clinical Significance
Excessive use of bismuth containing medications may cause renal damage and other adverse effects.


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.