Heavy Metals Panel 3, Blood
0099470
Ordering Recommendation
Useful in the assessment of recent exposure to arsenic, mercury, and lead. For chronic exposure or the determination of arsenic species, refer to Heavy Metals Panel 4, Urine with Reflex to Arsenic Fractionation (0020572). For occupational exposure, consider Lead, Industrial Exposure Panel, Adults (0025016) and/or Cadmium Exposure Panel - OSHA (0025013).
Mnemonic
HY MET B
Methodology
Quantitative Inductively Coupled Plasma-Mass Spectrometry
Performed
Sun-Sat
Reported
1-4 days
New York DOH Approval Status
This test is New York DOH approved.
Submit With Order
ARUP Consult®
Disease Topics
Specimen Required
- 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.
- Collect
- Royal blue (K2EDTA or Na2EDTA).
- Specimen Preparation
- Transport 7 mL whole blood in the original collection tube. (Min: 0.5 mL)
- Storage/Transport Temperature
- Room temperature. Also acceptable: Refrigerated.
- Unacceptable Conditions
- Specimens collected in tubes other than Royal Blue (EDTA). Specimens transported in containers other than Royal Blue (EDTA) tube or Trace Element-Free Transport Tube. Heparin anticoagulant. Clotted specimens.
- Remarks
- Trace Elements requisition form may be required (ARUP form #32990).
- Stability
- Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
Interpretive Data
Refer to report.
Compliance Statement B: For laboratory developed tests not using a RUO kit, and for FDA approved, cleared or 510(k) exempt assays with alterations. This test was developed and its performance characteristics determined by ARUP Laboratories. The U. S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions.
Note
Mercury is volatile; concentration may decrease over time. If the specimen is drawn and stored in the appropriate container, the arsenic and lead values do not change with time.
Hotline History
View Hotline History
CPT Code(s)
82175; 83655; 83825
Components
| Component Test Code* | Component Chart Name | LOINC |
|---|---|---|
| 0020098 | Lead, Blood (Venous) | 77307-7 |
| 0099045 | Arsenic Blood | 5583-0 |
| 0099305 | Mercury Blood | 5685-3 |
Aliases
- Arsenic
- arsenic blood level
- AS
- Hg
- Lead
- lead blood level
- Mercury
- mercury blood level
- Pb