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Bismuth, Blood
Ordering Recommendation
May be useful in the assessment of acute or chronic exposure.
New York DOH Approval Status
Specimen Required
Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician).
Royal blue (K2EDTA) or royal blue (NaHep).
Transport 3 or 6 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 (K2EDTA) or royal blue (NaHep).
Specimens transported in containers other than a royal blue (K2EDTA) or royal blue (NaHep) tube or trace element-free transport tube. Clotted specimens.
Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
Methodology
Quantitative Inductively Coupled Plasma-Mass Spectrometry (ICP=MS)
Performed
Sun-Sat
Reported
1-3 days
Reference Interval
Less than or equal to 5.0 µg/L
Interpretive Data
Elevated results may be due to skin or collection-related contamination, including the use of a noncertified metal-free collection/transport tube. If contamination concerns exist due to elevated levels of blood bismuth, confirmation with a second specimen collected in a certified metal-free tube is recommended.
Laboratory Developed Test (LDT)
Note
Hotline History
CPT Codes
83018
Components
| Component Test Code* | Component Chart Name | LOINC |
|---|---|---|
| 0099478 | Bismuth, Whole Blood | 8161-2 |
Aliases
- Bi
- Blood concentration, bismuth
