Heavy Metals Panel 3, Urine with Reflex to Arsenic Fractionated HMETU

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.
Transport

8 mL aliquot from a well-mixed 24-hour or random at 2-8°C. (Min: 2 mL) Submit specimen in two Trace Element-Free transport tubes.

Remarks Record total volume and collection time interval on transport tube and on test request form.
Stability

Ambient: 1 week: Refrigerated: 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 Daily
Billing Code 5010303
CPTCode 82175 Arsenic; 83655 Lead; 83825 Mercury; if reflexed 82175 arsenic fractionated
Notes

Patient prep: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician), and avoid shellfish and seafood for 48 to 72 hours. High concentrations of iodine may interfere with elemental testing. Collection of urine specimens from patients receiving iodinated or gadolinium-based contrast media should be avoided for a minimum of 72 hours post-exposure. Collection from patients with impaired kidney function should be avoided for a minimum of 14 days post-contrast media exposure.

Preferred Specimen Collection Device(s)
Reference Interval
ComponentsReference Intervals
Arsenic, Urine with Reflex to FractionatedArsenic, Urine - per volume0.0-34.9 ug/L
(based on Biological Exposure Index)
Arsenic, Urine - per 24h0.0-49.9 ug/d
Arsenic, Urine - ratio to CRT0.0-29.9 ug/gCRT
Arsenic, Fractionated, UrineRefer to report
Creatinine, Urine - per 24hRefer to report
Lead, UrineLead, Urine - per 24h0.0-8.1 ug/d
Lead, Urine - per volume0.0-5.0 ug/L
Lead Urine - ratio to CRT0.0-5.0 ug/gCRT
Creatinine, Urine - per 24hRefer to report
Mecury, UrineMercury, Urine - per 24h0.0-20.0 ug/d
Mercury, Urine - per volume0.0-5.0 ug/L
Mercury, Urine - ratio to CRT0.0-20.0 ug/gCRT
Creatinine, Urine - per 24hRefer to report
No Appointment Necessary
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12 Patient Service Centers in Central New York.

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