Cyanide, Blood

Message
Order as QNI FLEXI


Test Code
Cyanide, Blood


Quest Code
400


CPT Codes
82600

Preferred Specimen
10 mL whole blood collected in a sodium heparin (green-top) tube


Minimum Volume
1 mL


Other Acceptable Specimens
6 mL whole blood collected in EDTA (lavender-top) or sodium fluoride (gray-top) tube


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 14 days
Refrigerated: 14 days
Frozen: 30 days


Methodology
Colorimetric

Setup Schedule
A.M. Sets up 3 days a week.


Reference Range
<0.1 mg/L


Clinical Significance
Toxic syndromes are rapid and include flushing, headache, dizziness, and tachypnea that may progress to respiratory depression and death. 80% of cyanide is converted to thiocyanate. Administration of sodium nitroprusside contributes to the total body pool of cyanide and complicates interpretation.


Performing Laboratory
Quest Diagnostics Chantilly Nichols Institute
14225 Newbrook Dr.
Chantilly, VA 20151-2228



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.