Quantitative Inductively Coupled Plasma-Mass Spectrometry
This test is New York DOH approved.
- Patient Preparation
- 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. High concentrations of iodine may interfere with elemental testing. Abstinence from iodine-containing medications or contrast agents for at least 1 month prior to collecting specimens for elemental testing is recommended.
- 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.
- Specimen Preparation
- Transfer 8 mL aliquot from a well-mixed collection to ARUP Trace Element-Free Transport Tubes (ARUP supply #43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 2 mL) Record total volume and collection time interval on transport tube and on test request form.
- Storage/Transport Temperature
- Refrigerated. Also acceptable: Room temperature or frozen.
- Unacceptable Conditions
- Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with MRI studies). Acid preserved urine.
- Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 year
| ||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)
|0020734||Arsenic, Fractionated, Urine
| ||As Organic
||Refer to report|
| ||Arsenic Total Inorganic
||Refer to report|
| ||Arsenic, Methylated
||Refer to report|
| ||Cadmium, Urine - per volume
| ||Cadmium, Urine - per 24h
| ||Cadmium, Urine - ratio to CRT
||0.0-3.0 µg/g crt
| ||Copper, Urine||0.2-8.0 µg/dL
| ||Copper, Urine (24-hour)||3-50 µg/d
| ||Copper 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 - per 24h
| ||Mercury, Urine - per volume
| ||Mercury, Urine - ratio to CRT
||Less than or equal to 35 µg/gCR
| ||Zinc, Urine||15-120 µg/dL
| ||Zinc, Urine (24-hour)||150-1200 µg/d
| ||Zinc per gram of creatinine||No reference interval (µg/g crt)
| ||Creatinine, Random
||No reference interval
|0020473||Creatinine, 24-Hour Urine
|81 years and older
The ACGIH Biological Exposure Index for the sum of inorganic and methylated forms (species) of arsenic is 35 µg/L. For specimens with a total arsenic concentration between 35-2000 µg/L, fractionation is performed to determine the proportion of the inorganic, methylated, and organic forms. Inorganic forms of arsenic are most toxic. Methylated forms arise primarily from metabolism of inorganic forms but may also come from dietary sources and are of moderate toxic potential. The organic forms of arsenic are considered nontoxic and arise primarily from food. The sum of the inorganic, methylated, and organic forms of arsenic may be lower than the total arsenic level.
If low-level chronic poisoning is suspected, the µg/gCRT ratio may be more sensitive than the total arsenic concentration. It may be appropriate to fractionate specimens with a µg/gCRT ratio greater than 30 despite a total arsenic concentration less than 35 µg/L. Performed upon request.
If total arsenic concentration is between 35-2000 ug/L, then Arsenic, Fractionated, will be added to determine the proportion of organic, inorganic, and methylated forms. Additional charges apply.
82175; 82300; 82525; 83655; 83825; 84630; if reflexed, add 82175
|Component Test Code*||Component Chart Name|
|0020100||Copper, Urine - ug/dL|
|0020101||Copper, Urine - ug/day|
|0020102||Zinc, Urine - ug/dL|
|0020103||Zinc, Urine - ug/day|
|0020207||Creatinine, Urine - per volume|
|0020208||Creatinine, Urine - per 24h|
|0025001||Arsenic Urine ug/L|
|0025002||Arsenic Urine ug/day|
|0025038||Cadmium, Urine - ratio to CRT|
|0025041||Cadmium, Urine - per 24h|
|0025042||Cadmium, Urine - per volume|
|0025051||Mercury, Urine - per 24h|
|0025052||Mercury, Urine - per volume|
|0025054||Mercury, Urine - ratio to CRT|
|0025058||Arsenic, Urine ug/gCRT|
|0025061||Lead, Urine ug/day|
|0025062||Lead, Urine ug/L|
|0025063||Zinc, Urine - ug/gCRT|
|0025064||Copper, Urine - ug/gCRT|
|0025065||Lead, Urine ug/gCRT|
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, contact interface support at firstname.lastname@example.org.
- Arsenic (As)
- Cadmium (Cd)
- Copper (Cu)
- Lead (Pb)
- Mercury (Hg)
- Zinc (Zn)