Heavy Metals Panel

Last Modified: 4/13/2020 10:07:40 AM

Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 4.0 mL Whole Blood in a Navy Blue Top TubeEDTA Trace metal tube  (Purple Striped Label)
Collection Instructions: Carefully clean skin prior to venipuncture. Avoid worksite collection.

Tests performed on a specimen submitted in a non-trace element tube or non acid washed/non metal free container may not accurately reflect the patient's level. If a non-trace element tube/container is received, it will be accepted for testing. However, elevated results shall be reported with a message that a re-submission with a trace element tube/container is recommended.
Minimum Volume: 2.0 mL Whole Blood
Transport & Storage: Temperature/Stability: 5 days Ambient
7 days Refrigerated
Rejection Criteria: Clotted specimen
Reference Range:
Arsenic, Blood <23 mcg/L
Whole Blood Arsenic level >100 mcg/L is indicative of acute/chronic exposure. Urine is usually the best specimen for the analysis of arsenic in body fluids. Blood levels tend to be low even when urine concentrations are high.

Lead, Blood  
0-6 Years <5 mcg/dL
>6 Years <5 mcg/dL
Blood lead levels in the range of 5-9 mcg/dL have been associated with adverse health effects in children aged 6 years and younger. Patient management varies by age and CDC Blood Lead Level range. Refer to the CDC website regarding Lead Publications/Case Management for recommended interventions.

Mercury, Blood ≤10 mcg/L
Critical Ranges:  
Test Comments:  
Methodology: Inductively Coupled Plasma/Mass Spectrometry | Atomic Spectroscopy
Clinical Significance: Useful in the diagnosis of toxicity due to Arsenic, Lead or Mercury.
Custom Panel: No


Turn Around Time: 1 to 4 days
Days Performed: Tuesday, Thursday, Saturday
Sites Performed: Quest - Valencia
PHL Test Code: HVWB1
EPIC Test Code: LAB832
Send Out Test Code: 7655
Alternate Test Names: Heavy Metals Panel (Blood); Heavy Metals Panel (Venous)
Included Tests: Arsenic; Lead; Mercury
CPT Coding: 82175, 83655, 83825

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