Micronutrients, Mineral/Element Panel

Test Code

10235

CPT Codes
82310, 82495, 82525, 83540, 83735, 83785, 83018, 84255, 84630<br><strong>Restricted Client Code - QLS Only</strong>

Includes

10196 - Micronutrient, Calcium
10197 - Micronutrient, Chromium, Blood
10198 - Micronutrient, Copper, Plasma
10200 - Micronutrient, Iron
10212 - Micronutrient, Magnesium, RBC
10214 - Micronutrient, Manganese, Blood
10216 - Micronutrient, Molybdenum, Blood
10217 - Micronutrient, Selenium, Blood
10233 - Micronutrient, Zinc, Plasma

Preferred Specimen

3 mL serum collected in a no additive (royal blue-top) tube and
6 mL whole blood collected in each of two separate EDTA trace metal-free (royal blue-top) tubes
or
3 mL serum collected in a no additive (royal blue-top) tube and
6 mL packed red blood cells in each of two EDTA trace metal-free (royal blue-top) tubes

Patient Preparation
Overnight fasting is required.
Refrain from taking vitamins or mineral supplements 3 days before specimen collection and from eating legumes and leafy vegetables 2 days before specimen collection.

Minimum Volume

1.5 mL serum • 3 mL whole blood • 3 mL packed red blood cells

Instructions

Patients should be 18 years of age or greater.

Serum: Centrifuge and separate serum into 2 aliquots.
1 mL serum (0.5 mL minimum) for Calcium and Iron, ship refrigerated
2 mL serum (1 mL minimum) for Zinc and Copper, ship refrigerated

Whole blood: Collect two 3 mL EDTA trace metal-free (royal blue-top) tubes.
Use first 3 mL tube to prepare Packed RBC's for Magnesium, ship refrigerated.
Submit the second 3 mL whole blood tube for Manganese, Selenium, Molybdenum, Chromium, ship refrigerated.

Transport Container

⁠⁠⁠⁠⁠⁠⁠Serum: Plastic acid-washed or metal-free vial
Whole blood: Original EDTA trace metal-free (royal blue-top) tube

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

⁠⁠⁠⁠⁠⁠⁠Serum
Room temperature: 6 days
Refrigerated: 7 days
Frozen: 28 days

Whole blood
Room temperature: 7 days
Refrigerated: 30 days
Frozen: 30 days

Packed red blood cells
Room temperature: 30 days
Refrigerated: 30 days
Frozen: 30 days

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

Hemolysis • Submitted in non-trace metal-free or non-acid-washed container • Serum or plasma not separated from cells • Received room temperature

Methodology
Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) • Spectrophotometry (SP)

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.

Setup Schedule

Set up and Report available: See individual assays

Reference Range

See individual tests

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.