Heavy Metals panel (As, Cd, Hg, Pb), blood

Alphabetical Test listing

Heavy Metals panel (As, Cd, Hg, Pb), blood-15758

Test name:

Test number:

15758

Excellian order number:

LAB15758

Abbreviation:

HMB

Alternate names:

Heavy metals blood
Heavy metals panel with Cacmium
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

Patient preparation information:

Patient should avoid seafood and red wine 72 hours prior to collection.

Specimen type:

EDTA whole blood, metal free

Collection container:

Navy blue metal free vial/tube with EDTA

Volume:

7.0

Minimum volume:

1.1 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) - 14 days

Ambient: 14 days

Frozen - 14 days

Freeze/thaw cycles - stable x3

Reason for rejection:

Clotted specimen

Performing lab:

LabCorp Burlington (706200): R-LC

TAT:

3 - 5 days

Method:

Inductively coupled plasma/mass spectrometry (ICP/MS)

Reference ranges:

Arsenic: <1 µg/L

Cadmium: 0.0 - 1.2 µg/L,BEI 5.0 µg/L

Lead: 0.0 - 3.4 µg/dL, BEI 30 µg/dL

Mercury: 0.0 - 14.9 µg/L, BEI 15 µg/L

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:

02/06/2025

Review date:

02/06/2025