Metal panel (As, Cd, Hg, Pb), blood

Alphabetical Test listing

Metal panel (As, Cd, Hg, Pb), blood-13309

Test name:

Test number:

13309

Excellian order number:

LAB13309

Abbreviation:

HMB

Alternate names:

Arsenic
As
Mercury
Hg
Lead
Pb
Cadmium
Cd

Tests included:

Arsenic (As)
Cadmium (Ca)
Lead (Pb)
Mercury (Hg)

Useful for:

Evaluation of exposure to heavy metals

Specimen type:

EDTA whole blood, metal free

Collection container:

Navy blue metal free vial/tube with EDTA

Volume:

2.0 mL

Minimum volume:

0.5 mL

Collection instructions:

Immediately following collection, mix sample thoroughly by gently inverting 8 - 10, times to prevent clotting

Processing instructions:

Do not spin

Transport container:

Navy blue metal free vial/tube with EDTA

Required forms/information:

MDH lead form

Transport and stability:

Refrigerated (preferred) - 2 weeks

Ambient: < 3 days

Frozen - 2 weeks

Performing lab:

MedTox Laboratories (60680): R-MX

Days set up:

Every 3 days

TAT:

3 days

Method:

Inductively coupled plasma/mass spectrometry (ICP/MS)

Reference ranges:

Arsenic: <10 ng/mL

Cadmium: <5.0 ng/mL,BEI 5.0 ng/mL

Lead: <5 µg/dL, BEI 30 µg/dL

Mercury: <8 ng/mL, BEI 15 ng/mL

Results that require action (critical):

Component	Age	Results that require action
Cadmium	All	>10 ng/mL
Lead	0 - 17 years	>20 μg/dL
Lead	>17 years	>40 μg/dL

CPT codes:

82175 - Arsenic, bood
82300 - Cadmium, blood
83655 - Lead, blood
83825 - Mercury, blood

Subject to medical necessity (Y/N):

Yes

LCD/NCD:

Medical necessity

Date created:

03/06/2019

Revised date:

04/04/2024

Review date:

01/11/2024