Test Code LAB1019 Heavy Metals Screen with Demographics, Blood
Additional Codes
Mayo Test Code: HMDB
Useful For
Detecting exposure to arsenic, lead, cadmium, and mercury
Profile Information
Test ID | Reporting Name | Available Separately | Always Performed |
---|---|---|---|
ASB | Arsenic, B | Yes | Yes |
PBHMB | Lead, B | Yes, (Order PBDV) | Yes |
CDB | Cadmium, B | Yes | Yes |
HG | Mercury, B | Yes | Yes |
DEMO6 | Patient Demographics | No | Yes |
Method Name
Triple Quadrupole Inductively Coupled Plasma Mass Spectrometry (ICP-MS/MS)
Specimen Type
Whole bloodNecessary Information
If not ordering electronically, the Lead and Heavy Metals Reporting (T491) is required. Send with specimen.
Specimen Required
Patient Preparation: High concentrations of gadolinium and iodine are known to potentially interfere with most inductively coupled plasma mass spectrometry-based metal tests. If either gadolinium- or iodine-containing contrast media has been administered, a specimen should not be collected for 96 hours.
Supplies: Metal Free B-D Tube (EDTA), 6 mL (T183)
Container/Tube: Royal blue top (EDTA) plastic trace element blood collection tube
Specimen Volume: Full tube
Collection Instructions:
1. See Metals Analysis Specimen Collection and Transport for complete instructions.
2. Send whole blood specimen in original collection tube. Do not aliquot.
Do not use a serum separator/plunger to separate. Do not insert a pipet into the serum to accomplish transfer, and do not ream the specimen with a wooden stick to assist with serum transfer.
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Whole blood | Refrigerated (preferred) | 28 days | |
Ambient | 28 days | ||
Frozen | 28 days |
Reject Due To
Gross hemolysis | OK |
Gross lipemia | OK |
Gross icterus | OK |
Day(s) Performed
Monday through Saturday
Report Available
1 to 2 daysPerforming Laboratory
Mayo Clinic Laboratories in RochesterTest Classification
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.CPT Code Information
82175
82300
83655
83825
Special Instructions
Specimen Minimum Volume
0.3 mL
Reference Values
ARSENIC
<13 ng/mL
Reference values apply to all ages.
LEAD
<3.5 mcg/dL
Critical values
Pediatrics (≤15 years): ≥20.0 mcg/dL
Adults (≥16 years): ≥70.0 mcg/dL
CADMIUM
<5.0 ng/mL
Reference values apply to all ages.
MERCURY
<10 ng/mL
Reference values apply to all ages.
Testing Algorithm
For more information see Porphyria (Acute) Testing Algorithm
Forms
Lead and Heavy Metals Reporting (T491) or Lead and Heavy Metals Reporting-Spanish (T956)