Bismuth, Blood

Test Code
5374


CPT Codes
83018

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


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

Minimum Volume
2 mL


Other Acceptable Specimens
Whole blood collected in: sodium heparin (royal blue-top) tube


Instructions
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 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 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
Tuesday, Thursday, Saturday Morning
Report available: 4 Days


Reference Range
<0.5 mcg/L Nonexposed
4-30 mcg/L Therapeutic
>50 mcg/L Toxic


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


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



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.