Comprehensive Toxic Metal Panel, 24-Hour Urine [37081]

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

Test Code

Alias/See Also

CPT Codes
82175, 82300, 83655, 83825, 83018 (x2)

Arsenic, Cadmium, Cobalt, Lead, Mercury, Thallium

CPT code 81050 may be added at an additional charge for volume measurement

Preferred Specimen
7 mL of a well-mixed, unpreserved 24-hour urine submitted in an acid-washed, metal-free plastic leak-proof container

Patient Preparation
Avoid seafood consumption for 48 hours prior to collection.

Minimum Volume
3 mL

Avoid work-site collection.

Transport Temperature
Refrigerated (cold packs)

Specimen Stability
Room temperature: 48 hours
Refrigerated: 5 days
Frozen: 14 days

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.

Setup Schedule
Set up: Tues, Thur, Sat; Report available: 3-6 days

Reference Range
Arsenic, 24-Hour Urine ≤80 mcg/L
Lead, 24-Hour Urine <80 mcg/L
Mercury, 24-Hour Urine ≤20 mcg/L
  Toxic: ≥150 mcg/L
Cadmium, 24-Hour Urine ≤5.0 mcg/L
Cobalt, 24-Hour Urine ≤2.0 mcg/L
Thallium, 24-Hour Urine ≤2 mcg/L
  Toxic: >200 mcg/L

Performing Laboratory
Quest Diagnostic Nichols Institute Valencia
27027 Tourney Road
Valencia, CA 91355-5386

Last Updated: November 29, 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.