Heavy Metals Panel 5B, Urine (CSA)

Test Code

35401

CPT Code(s)

82175, 82570, 83825, 84255, 83018 (x2)

CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.

Test Code

35401

CPT Code(s)

82175, 82570, 83825, 84255, 83018 (x2)

CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.

Not offered in Quest Nichols Institute - Chantilly, VA | Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano | Quest Nichols Institute -San Juan Capistrano, CA. Please provide SERVICE AREA INFORMATION to find available tests you can order.

In-home collection is not available in your area through Quest Mobile.

Clinical Significance

Heavy Metals Panel 5B, Urine (CSA)

Test Resources

None found for this test
Please visit our Clinical Education Center to stay informed on any future publications, webinars, or other education opportunities.

Test Details

Includes

Creatinine
Bismuth
Arsenic and Arsenic (Creatinine corrected)
Selenium and Selenium (Creatinine corrected)
Tellurium
Mercury and Mercury (Creatinine corrected)

Patient Preparation

Avoid exposure to gadolinium-based contrast media for 48 hours prior to sample collection. Avoid seafood consumption for 48 hours prior to sample collection.

Methodology

Colorimetry (C) • Inductively Coupled Plasma/Mass Spectrometry (ICP/MS)

Reference Range(s)

See Laboratory Report

LOINC® Codes, Performing Laboratory

Service Area must be determined

Includes

Creatinine
Bismuth
Arsenic and Arsenic (Creatinine corrected)
Selenium and Selenium (Creatinine corrected)
Tellurium
Mercury and Mercury (Creatinine corrected)

Patient Preparation

Avoid exposure to gadolinium-based contrast media for 48 hours prior to sample collection. Avoid seafood consumption for 48 hours prior to sample collection.

Methodology

Colorimetry (C) • Inductively Coupled Plasma/Mass Spectrometry (ICP/MS)

Reference Range(s)

See Laboratory Report

LOINC® Codes, Performing Laboratory

Service Area must be determined

Preferred Specimen(s)

6 mL urine collected in a plastic urine container (acid washed or trace metal-free)

Minimum Volume

2.5 mL

Collection Instructions

Unpreserved urine should be refrigerated immediately and analyzed within 1 week of collection.
Acceptable preservatives include: Trace metal-free hydrochloric acid or nitric acid (0.1 mL of 12M acid/10 mL urine).

Transport Container

Acid-washed or trace metal-free plastic urine container

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

Room temperature: 5 days
Refrigerated: 30 days
Frozen: 30 days

Reject Criteria

Received room temperature

Setup Schedule

Service Area must be determined

Preferred Specimen(s)

6 mL urine collected in a plastic urine container (acid washed or trace metal-free)

Minimum Volume

2.5 mL

Collection Instructions

Transport Container

Acid-washed or trace metal-free plastic urine container

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

Room temperature: 5 days
Refrigerated: 30 days
Frozen: 30 days

Reject Criteria

Received room temperature

Setup Schedule

Service Area must be determined

In-home collection is not available in your area through Quest Mobile.

Test Details

Clinical Significance

Test Resources

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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