Heavy Metals Panel 4, Blood
Useful in the assessment of recent exposure to arsenic, cadmium, 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).
Quantitative Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)
New York DOH Approval Status
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.
Royal blue (K2EDTA or Na2EDTA).
Transport 7 mL whole blood in the original collection tube. (Min: 0.5 mL)
Room temperature. Also acceptable: Refrigerated.
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.
Trace Elements requisition form may be required (ARUP form #32990).
Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
|Lead, Blood (Venous)||
|Arsenic Blood||Less than or equal to 12.0 µg/L|
|Mercury Blood||Less than or equal to 10.0 µg/L|
|Cadmium, Blood||Less than or equal to 5.0 µg/L|
Refer to report.
Laboratory Developed Test (LDT)
Mercury is volatile; concentration may decrease over time. If the specimen is drawn and stored in the appropriate container, the arsenic, cadmium, and lead values do not change with time.
82175; 83655; 83825; 82300
|Component Test Code*||Component Chart Name||LOINC|
|0020098||Lead, Blood (Venous)||77307-7|
- AS blood level
- Cd blood level
- Heavy metals blood levels
- Hg blood level
- Pb blood level