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Heavy Metals Panel (Venous)
Test Code7655
CPT Codes
82175, 83655, 83825
Includes
Arsenic, Blood
Lead (Venous)
Mercury, Blood
Lead (Venous)
Mercury, Blood
Preferred Specimen
4 mL whole blood collected in an EDTA (royal blue-top) tube
Minimum Volume
2 mL
Other Acceptable Specimens
Whole blood collected in a sodium heparin (royal blue-top) tube
Instructions
Carefully clean skin prior to venipuncture. Avoid worksite collection.
Tests performed on a specimen submitted in a non-trace element tube/container (non-acid washed) 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
Room temperature
Specimen Stability
Room temperature: 5 days
Refrigerated: 7 days
Frozen: Unacceptable
Refrigerated: 7 days
Frozen: Unacceptable
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Clotted specimen • EDTA (lavender-top) tube
Methodology
Inductively Coupled Plasma/Mass Spectrometry (ICP/MS)
Setup Schedule
Set up: Daily; Report available: 1 day
Limitations
Ingestion of seafood within three days of specimen collection can affect results.
Reference Range
Arsenic, Blood | <23 mcg/L |
Lead (Venous)
Birth-6 years | <3.5 mcg/dL |
>6 years | <3.5 mcg/dL |
Mercury, Blood | ≤10 mcg/L |
Clinical Significance
Useful in the diagnosis of toxicity due to Arsenic, Lead or Mercury.
Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153
Additional Information
Heavy Metal Reporting Form