Copper

Overview

  • EPIC Code:
  • LAB817
  • Soft Test Code:
  • COPP
  • Send Out Test Code:
  • 363
Clinical Significance

Copper is an essential element that is a cofactor of many enzymes. Copper metabolism is disturbed in Wilson's disease, Menkes diseases, primary biliary cirrhosis, and Indian childhood cirrhosis. Copper concentrations increase in acute phase reactions. Copper concentrations are decreased with nephrosis, malabsorption, and malnutrition. Copper concentrations are also useful to monitor patients, especially preterm newborns, on nutritional supplementation. Results of copper are often interpreted together with ceruloplasmin.


Specimen Collection & Preparation

Specimen Requirements

2.0 mL Serum from a Navy Blue Top Tube - No Additive, trace element serum red striped label, in an Serum Trace Element and Metal Free Plastic Tube


Alternate Specimen

2.0 mL Plasma from a Navy Blue Top Tube - EDTA, in an Metal Free



TransportAndStorage

5 days Ambient 
10 days Refrigerated 
30 days Frozen


Collection Instructions

Centrifuge and separate from cells within 2 hours of collection
Transfer separated serum/plasma to a plastic acid washed or metal free vial


Minimum Volume

0.7 mL Serum


Neonatal Volumne

Clinical Interpretation

Reference Range:

< 6 months:      38 - 104 mcg/dL
< 12 months:    24 - 152 mcg/dL
< 2 years:          76 - 193 mcg/dL
< 4 years:          87 - 187 mcg/dL
< 6 years:          56 - 191 mcg/dL
< 10 years:       117 - 181 mcg/dL
< 14 years:       87 - 182 mcg/dL
< 18 years:       75 - 187 mcg/dL

>= 18 years:    70 - 175 mcg/dL


Methodology:
  • Atomic Spectroscopy

Clinical Significance

Copper is an essential element that is a cofactor of many enzymes. Copper metabolism is disturbed in Wilson's disease, Menkes diseases, primary biliary cirrhosis, and Indian childhood cirrhosis. Copper concentrations increase in acute phase reactions. Copper concentrations are decreased with nephrosis, malabsorption, and malnutrition. Copper concentrations are also useful to monitor patients, especially preterm newborns, on nutritional supplementation. Results of copper are often interpreted together with ceruloplasmin.


Production Schedule

Sites Performed
  • Quest - Chantilly
Days Performed
Sunday
Wednesday
Friday
Departments
  • Sendouts - Clinical
Turn Around Time

4 to 7 days


Coding & Compliance

CDM

01423976


CPT Coding

82525