ARUP's Laboratory Test Directory

Heavy Metals Panel 4, Blood : 0020584

Mnemonic: HY MET B4

Methodology: Quantitative Atomic Absorption/Quantitative Inductively Coupled Plasma-Mass Spectrometry
Performed: Mon, Wed-Sat
Reported: 1-3 days
Specimen Required: Patient Prep: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, non-essential over-the-counter medications (upon the advice of their physician), and avoid shellfish and seafood for 48 to 72 hours.

Collect: Royal blue (K2EDTA or Na2EDTA).

Specimen Preparation: Transport 7 mL whole blood. (Min: 1.5 mL)

Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated.

Remarks: Lead requisition form may be required (ARUP form #32990-Barcode; #32991-No Barcode). Notification will be given if required.

Unacceptable Conditions: Heparin anticoagulant. Frozen specimens.

Stability (collection to initiation of testing): Mercury is volatile; concentration may reduce after seven or more days of storage. If the specimen is drawn and stored in the appropriate container, the arsenic, cadmium, and lead values do not change with time.

Reference Interval:
 
Test Number Components Reference Interval
0099045Arsenic, Blood 0.0-13.0 µg/L
0099675Cadmium, Blood 0.0-5.0 µg/L
0099305Mercury, Whole Blood 0-10 µg/L
0020098Lead, Blood (Venous) 0.0-4.9 µg/dL

CPT Code(s): 82175; 82300; 83655; 83825
Cross References: Arsenic (As) (Heavy Metals Panel 4, Blood), Cadmium (Cd) (Heavy Metals Panel 4, Blood), Lead (Pb) (Heavy Metals Panel 4, Blood), Mercury (Hg) (Heavy Metals Panel 4, Blood)