ARUP's Laboratory Test Directory

Heavy Metals Panel 6, Urine with Reflex to Arsenic Fractionated : 0025055

Mnemonic: HYMET 6

Methodology: Inductively Coupled Plasma/Mass Spectrometry
Performed: Mon-Sat
Reported: 1-4 days
Specimen Required: Collect:  24-hour or random urine collection. Specimen must be collected in a plastic container and should be refrigerated during collection. ARUP 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 ARUP Trace Element-Free Transport Tubes (ARUP supply #43116).

Pediatric Collection/Transport:  5 mL aliquot from a well-mixed collection at 2-8°C. Submit specimen in an ARUP Trace Element-Free Transport Tube (ARUP supply #43116).

Remarks:  Mercury in urine will rapidly dissipate if not acidified. Record total volume and collection time interval on transport tube and on test request form.

Unacceptable Conditions:  Urine collected within 48 hours of administration of a gadolinium (Gd) containing contrast media (may occur with MRI studies). Acid preserved urine.

Stability:  Ambient: 1 week;  Refrigerated (preferred): 2 weeks; Frozen: 1 year   
Reference Interval:
 
Test Number Components Reference Interval
 Arsenic, Urine0-35.0 µg/L (based on Biological Exposure Index)
 Arsenic, Urine (24-hour)0-50.0 µg/d
 Arsenic per gram of creatinineNo reference interval (µg/g crt)
 Cadmium, Urine0.0-2.6 µg/L
 Cadmium, Urine (24-hour)0.0-3.3 µg/d
 Cadmium per gram of creatinine0.0-3.0 µg/g crt
 Copper, Urine0.2-8.0 µg/dL
 Copper, Urine (24-hour)3-50 µg/d
 Copper per gram of creatinineNo reference interval (µg/g crt)
 Lead, Urine0-23 µg/L
 Lead, Urine (24-hour)0-31 µg/d
 Lead per gram of creatinineNo reference interval (µg/g crt)
 Mercury, Urine0-10 µg/L
 Mercury, Urine (24-hour)0-15 µg/d
 Mercury per gram of creatinineNo reference interval (µg/g crt)
 Zinc, Urine15-120 µg/dL
 Zinc, Urine (24-hour)150-1200 µg/d
 Zinc per gram of creatinineNo reference interval (µg/g crt)
 Creatinine, Random No reference interval
0020473Creatinine, 24-Hour Urine  
 
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

CPT Code(s): 82175 Arsenic; 82300 Cadmium; 82525 Copper; 83655 Lead; 83825 Mercury; 84630 Zinc;  if reflexed, 82175 Arsenic fractionated
 
 

 

 

 
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