Nickel, Random Urine

Message

For Specimen Integrity during Extreme Weather see the “Lockbox Usage in Extreme Weather” document at the top of this page.

Test Code

NICKLU

CPT Codes
82570, 83885

Includes

Creatinine

Preferred Specimen

7 mL aliquot of a random urine submitted in an acid-washed or metal-free, leak-proof container

Minimum Volume

3 mL

Instructions

Avoid work-site collection.
Please note: 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 re-submission with a trace element tube/container is recommended.

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 28 days

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 the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule

Set up: Tues-Sat; Report available: Next day

Reference Range

Nickel, Random Urine

Non-exposed Adult
Male	1.2-6.2 mcg/g creat
Female	2.2-10.2 mcg/g creat

Creatinine, Random Urine

≤6 Months 2-28 mg/dL

7-11 Months 2-31 mg/dL

1-2 Years 2-110 mg/dL

3-8 Years 2-130 mg/dL

9-12 Years 2-160 mg/dL

>12 Years Male 20-320 mg/dL

>12 Years Female 20-275 mg/dL

Clinical Significance

Nickel toxicity is associated with allergy, asthma, urticaria, erythema multiforme, contact dermatitis, and hand eczema.

Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153

Last Updated: November 30, 2021

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.