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Heavy Metals Panel 3, Urine with Reflex to Arsenic Fractionated
HMETU
Components: Arsenic, lead and Mercury
Method(s): Inductively Coupled Plasma/Mass Spectrometry
Specimen Required:
     Collect: 24-hour or random urine collection. Specimen must be collected in a plastic container and should be refrigerated during collection. Studies indicate that refrigeration of urine alone, during and after collection, preserves specimens adequately if tested within 14 days of collection.
     Transport: 10 mL aliquot from a well-mixed collection at 2-8°C. (Min: 5 mL) Submit specimen in two Trace Element-Free Transport Tube.
     Remarks:  Record total volume and collection time interval on transport tube and on test request form.
     Stability:  Ambient: 1 week; Refrigerated (preferred): 2 weeks; Frozen: 1 year
     Unacceptable Conditions:  Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with MRI studies). Acid preserved urine.
Schedule:  Mon - Fri
Billing Code:  5010303
CPT Code:  82175 Arsenic; 83655 Lead; 83825 Mercury; if reflexed, add 82175 Arsenic fractionated
Reference Interval

Components 

Reference Interval 

Arsenic, Urine

0-35.0 µg/L (based on Biological Exposure Index)

Arsenic, Urine (24-hour) 

0-50.0 µg/d 

Arsenic per gram of creatinine 

No reference interval (µg/g crt) 

Lead, Urine 

0-23 µg/L  

Lead, Urine (24-hour) 

0-31 µg/d 

Lead per gram of creatinine 

No reference interval (µg/g crt) 

Mercury, Urine 

0-10 µg/L 

Mercury, Urine (24-hour) 

0-15 µg/d 

Mercury per gram of creatinine 

Less than or equal to 35 µg/d 

Creatinine (24-hour)

 

 

Male 

Female 

3-8 years: 140-700 mg/d
9-12 years: 300-1300 mg/d
13-17 years: 500-2300 mg/d
18-50 years: 1000-2500 mg/d
51-80 years: 800-2100 mg/d
81 years and older: 600-2000 mg/d 

3-8 years: 140-700 mg/d
9-12 years: 300-1300 mg/d
13-17 years: 400-1600 mg/d
18-50 years: 700-1600 mg/d
51-80 years: 500-1400 mg/d
81 years and older: 400-1300 mg/d