Comprehensive Toxic Metal Panel, 24-Hour Urine
Test Code
37081
82175, 82300, 83655, 83825, 83018 (x2)
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
In-home collection is not available in your area through Quest Mobile.
Clinical Significance
Comprehensive Toxic Metal Panel, 24-Hour Urine - See available Test Resources
Test Resources
Test Summary
Comprehensive Toxic Metal Panel, 24-Hour UrineTest Details
Arsenic, Cadmium, Cobalt, Lead, Mercury, Thallium
CPT code 81050 may be added at an additional charge for volume measurement
CPT code 81050 may be added at an additional charge for volume measurement
Avoid seafood consumption for 48 hours prior to collection
Methodology
Inductively Coupled Plasma/Mass Spectrometry (ICP/MS)
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.
This test is not available for New York patient testing.
This test is not available for New York patient testing.
Reference Range(s)
| Arsenic, 24-Hour Urine | ≤80 mcg/L | |
| Lead, 24-Hour Urine | <80 mcg/L | |
| Mercury, 24-Hour Urine | ≤20 mcg/L | Toxic: ≥150 mcg/L |
| Cadmium, 24-Hour Urine | ≤5.0 mcg/L | |
| Cobalt, 24-Hour Urine | ≤2.0 mcg/L | |
| Thallium, 24-Hour Urine | ≤2 mcg/L | Toxic: >200 mcg/L |
Alternative Name(s)
Metal Toxic Panel,Toxic Metal Panel
Preferred Specimen(s)
7 mL aliquot of a well-mixed 24-hour urine collected in an acid-washed or metal-free container
Minimum Volume
3 mL
Collection Instructions
Avoid worksite collection. Collect urine in an acid-washed or metal-free plastic container.
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.
Transport Container
Acid-washed plastic urine container
Transport Temperature
Refrigerated (cold packs)
Specimen Stability
- Room temperature: 48 hours
- Refrigerated: 5 days
- Frozen: 14 days
Setup Schedule
7 mL aliquot of a well-mixed 24-hour urine collected in an acid-washed or metal-free container
3 mL
Avoid worksite collection. Collect urine in an acid-washed or metal-free plastic container.
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.
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.
Acid-washed plastic urine container
Refrigerated (cold packs)
Room temperature: 48 hours
Refrigerated: 5 days
Frozen: 14 days
Refrigerated: 5 days
Frozen: 14 days