Heavy Metals Panel (Venous)

Heavy Metals Panel (Venous)

Test Code

7655
82175, 83655, 83825
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
7655
82175, 83655, 83825
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
Ordering Restrictions may apply. Please provide SERVICE AREA INFORMATION to find available tests you can order.
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano. 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 (Venous) -

Useful in the diagnosis of toxicity due to Arsenic, Lead or Mercury.

Test Resources

None found for this test
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Test Details

Includes

  • Arsenic, Blood
  • Lead (Venous)
  • Mercury, Blood

Patient Preparation

Avoid seafood consumption for 48 hours prior to sample collection

Methodology

Inductively Coupled Plasma/Mass Spectrometry (ICP/MS)

Assay Category

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.

Reference Range(s)

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 (Venous)<3.5 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

LOINC® Codes, Performing Laboratory

Service Area must be determined
Arsenic, Blood
Lead (Venous)
Mercury, Blood

Avoid seafood consumption for 48 hours prior to sample 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.

Reference Range(s)

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 (Venous)<3.5 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
Service Area must be determined

Preferred Specimen(s)

4 mL whole blood collected in an EDTA (royal blue-top) tube

Alternative Specimen(s)

Sodium heparin (royal blue-top) tube

Collection Instructions

Carefully clean skin prior to venipuncture. Avoid worksite collection.

Transport Container

EDTA (royal blue-top) tube

Transport Temperature

Room temperature

Specimen Stability

  • Room temperature: 5 days
  • Refrigerated: 7 days
  • Frozen: Unacceptable

Reject Criteria

Clotted specimen • EDTA (lavender-top) tube

Setup Schedule

Service Area must be determined
4 mL whole blood collected in an EDTA (royal blue-top) tube

Sodium heparin (royal blue-top) tube

Carefully clean skin prior to venipuncture. Avoid worksite collection.
EDTA (royal blue-top) tube
Room temperature
Room temperature: 5 days
Refrigerated: 7 days
Frozen: Unacceptable
Clotted specimen • EDTA (lavender-top) tube
Service Area must be determined
Ordering Restrictions may apply. Please provide SERVICE AREA INFORMATION to find available tests you can order.
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano. Please provide SERVICE AREA INFORMATION to find available tests you can order.
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.

The tests listed by specialty and category are a select group of tests offered. For a complete list of Quest Diagnostics tests, please adjust the filter options chosen, or refer to our Directory of Services.

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