Ordering Recommendation

Serum aluminum may be useful in the assessment of aluminum toxicity due to dialysis and is the preferred test for routine screening. For chronic exposure, Aluminum, Urine (0099408) is preferred.




Quantitative Inductively Coupled Plasma-Mass Spectrometry


Tue, Thu, Sat


1-4 days

New York DOH Approval Status

This test is New York DOH approved.

Specimen Required

Patient Preparation

Diet, medication, and nutritional supplements may introduce interfering substances. Patient should be encouraged to discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician).


Royal Blue (No Additive).

Specimen Preparation

Separate from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to an ARUP Trace Element-Free Transport Tube (ARUP supply #43116) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 0.5 mL)

Storage/Transport Temperature

Room temperature. Also acceptable: Refrigerated or frozen.

Unacceptable Conditions

Plasma. Specimens that are not separated from the red cells or clot within 2 hours. Specimens collected in containers other than specified. Specimens transported in containers other than specified.


Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Indefinitely (If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time.)

Reference Interval

0.0-15.0 µg/L

Interpretive Data

Serum aluminum greater than 50.0 µg/L is consistent with overload and may correlate with toxicity.

Elevated levels of aluminum in serum should be confirmed with a second specimen due to a high susceptibility of the specimen to collection-related environmental contamination.

This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the US Food and Drug Administration. This test was performed in a CLIA certified laboratory and is intended for clinical purposes.

Compliance Category

Laboratory Developed Test (LDT)


Hotline History


CPT Codes



Component Test Code* Component Chart Name LOINC
0099266 Aluminum, Serum 5574-9
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.


  • Al
  • Al, Serum
  • Aluminium
  • Aluminum
  • Aluminum, serum
Aluminum, Serum