Heavy Metals Panel, 24-Hour Urine : 1016755

Message
Ingestion of seafood within three days of specimen collection can affect results.

Test Code
UHMT24 or 1016755

CPT Codes
82175, 83655, 83825, 82300

Includes
Includes: Arsenic, Cadmium, Lead, and Mercury

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

24-hour urine collection. Specimen must be collected in a plastic container and should be refrigerated during collection.

Transport Container
Transfer a 7 mL aliquot from a well-mixed 24-hour collection to 2 trace element-free transport tubes (Available from Client Services supply #43116) (Min: 2 mL). Record total volume on transport tube and on test request form.

Transport Temperature
Refrigerated.

Specimen Stability
Ambient: 48 hours; Refrigerated: 5 days; Frozen: 14 days

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

Setup Schedule
Monday & Wednesday & Friday

Report Available
1-4 days (From receipt at performing laboratory)

Limitations
Tests performed on a specimen submitted in a non-trace element tube 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.

Reference Range
Arsenic, 24-Hour Urine less than or equal to 80 mcg/L
Lead, 24-Hour Urine less than 80 mcg/L
Mercury, 24-Hour Urine less than or equal to 20 mcg/L
Cadmium, 24-Hour Urine less than or equal to 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
Quest Diagnostics

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.