Bismuth, Blood

Test Code
BISMUT


Alias/See Also
5374


CPT Codes
83018

Preferred Specimen
4 mL whole blood collected in an EDTA trace metal-free (royal blue-top) tube


Patient Preparation
Avoid taking bismuth preparations such as Pepto-Bismol for at least 1 week prior to collection.

Minimum Volume
2 mL


Other Acceptable Specimens
Whole blood collected in: Sodium heparin trace metal-free (royal blue-top) tube or sodium heparin lead-free (tan-top) tube

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
EDTA trace metal-free (royal blue-top) tube


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 48 hours
Refrigerated: 7 days
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Clotted


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

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

This test code is for non-New York patient testing. For New York patient testing, see test code 13725.

Setup Schedule
Tues, Thurs, Sat


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


Performing Laboratory
med fusion
2501 South State Hwy 121, Suite 1100
Lewisville, TX 75067-8188




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.