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), and avoid shellfish and seafood for 48 to 72 hours.

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)

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). Trace Element-Free Transport Tube. Clotted specimens.

Storage/Transport Temperature

Room temperature. Also acceptable: Refrigerated.

Stability (from collection to initiation)

Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable

Epic EAP

LAB1019

Performed

Sun-Sat

Reported

1-3 days

CPT Codes

82175; 83655; 83825; 82300

Ordering Recommendations

Useful in the assessment of recent exposure to arsenic, cadmium, mercury, and lead. For chronic exposure or the determination of arsenic species, refer to Heavy Metals Panel 4, Urine with Reflex to Arsenic Fractionation (0020572). For occupational exposure, consider Lead, Industrial Exposure Panel, Adults (0025016) and/or Cadmium Exposure Panel - OSHA (0025013).

Notes

Mercury is volatile; concentration may decrease over time.  If the specimen is drawn and stored in the appropriate container, the arsenic, cadmium, and lead values do not change with time.

Additional Technical Information

LOINC

  • 77307-7
  • 5583-0
  • 5685-3
  • 5609-3

Performing Lab

ARUP Laboratories

ARUP Test Code

0020584

Reference Interval

Components
Reference Interval
Lead, Blood (Venous)
Age
Reference Interval (µg/dL)
0-5 yearsLess than or equal to 3.4
6 years or aboveLess than or equal to 4.9

Arsenic BloodLess than or equal to 12.0 µg/L
Mercury BloodLess than or equal to 10.0 µg/L
Cadmium, BloodLess than or equal to 5.0 µg/L

Interpretive Data

Refer to report.

Methodology

Quantitative Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)

Additional Technical Information

Collection

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), and avoid shellfish and seafood for 48 to 72 hours.

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)

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). Trace Element-Free Transport Tube. Clotted specimens.

Storage/Transport Temperature

Room temperature. Also acceptable: Refrigerated.

Stability (from collection to initiation)

Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
Ordering

Epic EAP

LAB1019

Performed

Sun-Sat

Reported

1-3 days

CPT Codes

82175; 83655; 83825; 82300

Ordering Recommendations

Useful in the assessment of recent exposure to arsenic, cadmium, mercury, and lead. For chronic exposure or the determination of arsenic species, refer to Heavy Metals Panel 4, Urine with Reflex to Arsenic Fractionation (0020572). For occupational exposure, consider Lead, Industrial Exposure Panel, Adults (0025016) and/or Cadmium Exposure Panel - OSHA (0025013).

Notes

Mercury is volatile; concentration may decrease over time.  If the specimen is drawn and stored in the appropriate container, the arsenic, cadmium, and lead values do not change with time.

Additional Technical Information

LOINC

  • 77307-7
  • 5583-0
  • 5685-3
  • 5609-3

Performing Lab

ARUP Laboratories

ARUP Test Code

0020584
Clinical Information

Reference Interval

Components
Reference Interval
Lead, Blood (Venous)
Age
Reference Interval (µg/dL)
0-5 yearsLess than or equal to 3.4
6 years or aboveLess than or equal to 4.9

Arsenic BloodLess than or equal to 12.0 µg/L
Mercury BloodLess than or equal to 10.0 µg/L
Cadmium, BloodLess than or equal to 5.0 µg/L

Interpretive Data

Refer to report.

Methodology

Quantitative Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)

Additional Technical Information

Additional Information

Referral Lab

ARUP Consult®

Disease Topics