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Comprehensive Toxic Metal Panel, 24-Hour Urine

Test Summary

Excessive exposure to Heavy Metals can cause acute and chronic toxicity. Heavy Metals Panel is intended to evaluate and monitor exposure to heavy metals and evaluate the process of detoxification.

Aliases

  • N/A

Specimen Collection

Special Instructions

N/A

Preferred Specimen

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

Minimum Volume

3 mL

Instructions

Avoid work-site collection.

Patient Preparation

Avoid seafood consumption for 48 hours prior to collection.

Storage

N/A

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

  • Room temperature: 48 hours
  • Refrigerated: 5 days
  • Frozen: 14 days

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

N/A

Order Code

TMETLU

EPIC (Premier) Code

LAB5257

Includes

Arsenic, Cadmium, Cobalt, Lead, Mercury, Thallium

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

CPT Code

  • 82175
  • 82300
  • 83655
  • 83825
  • 83018 (x2)

Billing Code

  • 670721
  • 670722
  • 670723
  • 670724
  • 670725

CPT Statement

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. The FDA has determined that such clearance or approval is not necessary. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Physician Attestation of Informed Consent

N/A

Testing Laboratory

Quest Diagnostics Nichols Institute Valencia
27027 Tourney Road
Valencia CA, 91355

Department

Reference Testing

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

Setup Schedule / Expected Turnaround Time

Tuesday, Thursday, Saturday; Report available: 3 - 6 days

Specimen Collection

Special Instructions

N/A

Preferred Specimen

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

Minimum Volume

3 mL

Instructions

Avoid work-site collection.

Patient Preparation

Avoid seafood consumption for 48 hours prior to collection.

Storage

N/A

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

  • Room temperature: 48 hours
  • Refrigerated: 5 days
  • Frozen: 14 days

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

N/A

Billing

CPT Code

  • 82175
  • 82300
  • 83655
  • 83825
  • 83018 (x2)

Billing Code

  • 670721
  • 670722
  • 670723
  • 670724
  • 670725

CPT Statement

Result Information

Methodology

Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)

Testing Laboratory

N/A

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

Setup Schedule / Expected Turnaround Time

Tuesday, Thursday, Saturday; Report available: 3 - 6 days