Ordering Recommendation

Use to monitor and evaluate for local metal ion release from metal-on-metal joint arthroplasty, especially when multiple metal implants are investigated. Should not be used to assess toxicity.

Mnemonic

ORTHO PAN

Methodology

Quantitative Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)

Performed

Varies

Reported

7-10 days

New York DOH Approval Status

Specimens from New York clients will be sent out to a New York DOH approved laboratory, if possible.

Specimen Required

Patient Preparation
Collect

Body fluid.

Specimen Preparation

Transfer 4 mL body fluid 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: 2.2 mL)

Test is not performed at ARUP; separate specimens must be submitted when multiple tests are ordered.

Storage/Transport Temperature

Refrigerated. Also acceptable: Room temperature or frozen.

Unacceptable Conditions
Remarks
Stability

Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined

Reference Interval

By report

Interpretive Data



Compliance Category

Performed by non-ARUP Laboratory

Note

Hotline History

N/A

CPT Codes

82495; 83018 x 2

Components

Component Test Code* Component Chart Name LOINC
3003914 Chromium, Body Fluid 21199-5
3003915 Cobalt, Body Fluid 51194-9
3003916 Titanium, Body Fluid 51210-3
* 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.

Aliases

Orthopedic Metals Panel (Chromium, Cobalt, Titanium)

National Medical Services (NMS)