Ordering Recommendations

Useful in the assessment of acute toxicity. For chronic exposure and the assessment of cadmium body burden, Cadmium, Urine (0025040) is preferred.

Orderable SIM Number(s)

CADMIUM, BLOOD (LAB123135)

Synonyms

  • Cd, Blood
  • Blood concentration, cadmium
  • CDB
  • Cd
  • LAB123135

ARUP Test Code

0099675

Patient Preparation

Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, non-essential over-the-counter medications (upon the advice of their physician).

Collect

Royal blue (K2EDTA) or royal blue (NaHep).

Specimen Preparation

Transport 3 or 6 mL whole blood in the original collection tube. (Min: 0.5 mL)

Storage/Transport Temperature

Room temperature. Also acceptable: Refrigerated.

Unacceptable Conditions

Specimens collected in tubes other than royal blue (K2EDTA) or royal blue (NaHep).

Specimens transported in containers other than royal blue (K2EDTA) or royal blue (NaHep) tube or trace element-free transport tube. Clotted specimens.

Stability (from collection to initiation)

Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable

Special Handling Instructions

Submit required patient demographic information on ARUP Heavy Metal Requisition Form.

/Aspirus/TestDirectory/SiteFile?fileName=/Lead%20Form(1).pdf

 

Remarks

Trace Elements requisition form may be required (ARUP form #32990).

Reference Interval

Less than or equal to 5.0 µg/L

Interpretive Data

Elevated results may be due to skin or collection-related contamination, including the use of a noncertified metal-free collection/transport tube. If contamination concerns exist due to elevated levels of blood cadmium, confirmation with a second specimen collected in a certified metal-free tube is recommended.

Blood cadmium levels can be used to monitor acute toxicity and in combination with cadmium urine and B-2 microglobulin is the preferred method for monitoring occupational exposure. Symptoms associated with cadmium toxicity vary based upon route of exposure and may include tubular proteinuria, fever, headache, dyspnea, chest pain, conjunctivitis, rhinitis, sore throat and cough. Ingestion of cadmium in high concentration may cause vomiting, diarrhea, salivation, cramps, and abdominal pain.

CPT Codes

82300

Billable SIM Number(s)

3018230001

LOINC

  • 5609-3
Overview

Ordering Recommendations

Useful in the assessment of acute toxicity. For chronic exposure and the assessment of cadmium body burden, Cadmium, Urine (0025040) is preferred.

Orderable SIM Number(s)

CADMIUM, BLOOD (LAB123135)

Synonyms

  • Cd, Blood
  • Blood concentration, cadmium
  • CDB
  • Cd
  • LAB123135

ARUP Test Code

0099675
Specimen

Patient Preparation

Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, non-essential over-the-counter medications (upon the advice of their physician).

Collect

Royal blue (K2EDTA) or royal blue (NaHep).

Specimen Preparation

Transport 3 or 6 mL whole blood in the original collection tube. (Min: 0.5 mL)

Storage/Transport Temperature

Room temperature. Also acceptable: Refrigerated.

Unacceptable Conditions

Specimens collected in tubes other than royal blue (K2EDTA) or royal blue (NaHep).

Specimens transported in containers other than royal blue (K2EDTA) or royal blue (NaHep) tube or trace element-free transport tube. Clotted specimens.

Stability (from collection to initiation)

Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable

Special Handling Instructions

Submit required patient demographic information on ARUP Heavy Metal Requisition Form.

/Aspirus/TestDirectory/SiteFile?fileName=/Lead%20Form(1).pdf

 

Remarks

Trace Elements requisition form may be required (ARUP form #32990).
Interpretive

Reference Interval

Less than or equal to 5.0 µg/L

Interpretive Data

Elevated results may be due to skin or collection-related contamination, including the use of a noncertified metal-free collection/transport tube. If contamination concerns exist due to elevated levels of blood cadmium, confirmation with a second specimen collected in a certified metal-free tube is recommended.

Blood cadmium levels can be used to monitor acute toxicity and in combination with cadmium urine and B-2 microglobulin is the preferred method for monitoring occupational exposure. Symptoms associated with cadmium toxicity vary based upon route of exposure and may include tubular proteinuria, fever, headache, dyspnea, chest pain, conjunctivitis, rhinitis, sore throat and cough. Ingestion of cadmium in high concentration may cause vomiting, diarrhea, salivation, cramps, and abdominal pain.

Coding

CPT Codes

82300

Billable SIM Number(s)

3018230001

LOINC

  • 5609-3