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Heavy Metals Screen, with Reflex, 24 Hour, Urine

Additional Codes

Primary ID

SQ Code

EPIC Code

Mayo Test ID

UMETLR

UMETLR LAB398

HMU24

 


Specimen Required


1. High concentrations of gadolinium and iodine are known to interfere with most metals tests. If either gadolinium- or iodine-containing contrast media has been administered, a specimen should not be collected for 96 hours.

2. Patient should not eat seafood for a 48-hour period prior to start of, or during, collection.

Supplies: Urine Tubes, 10 mL (T068)

Collection Container/Tube: Clean, plastic aliquot container with no metal cap or glued insert

Submission Container/Tube: Plastic, 10-mL urine tube

Specimen Volume: 10 mL

Collection Instructions:

1. Collect urine for 24 hours.

2. Refrigerate specimen within 4 hours of completion of 24-hour collection.

3. See Trace Metals Analysis Specimen Collection and Transport in Special Instructions for complete instructions.

Additional Information: See Urine Preservatives-Collection and Transportation for 24-Hour Urine Specimens in Special Instructions for multiple collections.


Useful For

Detecting arsenic, cadmium, mercury, and lead exposure and toxicity in 24-hour urine specimen

Profile Information

Test ID Reporting Name Available Separately Always Performed
ASHU Arsenic, 24 Hr, U Yes, (order ASU24) Yes
CDHMU Cadmium, 24 Hr, U Yes, (order CDU) Yes
HGHU Mercury, 24 Hr, U Yes, (order HGU) Yes
PBHU Lead, 24 Hr, U Yes, (order PBU) Yes

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
ASFR Arsenic Fractionation, 24 Hr, U Yes No

Testing Algorithm

If arsenic concentration is greater than or equal to 35 mcg/L, then fractionation will be performed at an additional charge.

Method Name

Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)

Reporting Name

Heavy Metal Scrn w/Reflex, 24 Hr, U

Specimen Type

Urine

Specimen Minimum Volume

3 mL

Specimen Stability Information

Specimen Type Temperature Time
Urine Refrigerated (preferred) 7 days
  Frozen  7 days

Reject Due To

Hemolysis

NA

Lipemia

NA

Icterus

NA

Other

NA

Reference Values

ARSENIC:

0-17 years: not established

≥18 years: <18 mcg/24 hour

 

CADMIUM:

0-17 years: not established

≥18 years: <0.6 mcg/24 hour

 

MERCURY:

0-17 years: not established

≥18 years: <2 mcg/24 hour

Toxic concentration: >50 mcg/24 hour

 

The concentration at which toxicity is expressed is widely variable between patients. 50 mcg/24 hour is the lowest concentration at which toxicity is usually apparent.

 

LEAD:

0-17 years: not established

≥18 years: <1 mcg/24 hour

Day(s) and Time(s) Performed

Monday through Saturday; 7 p.m.

Analytic Time

1 day

Specimen Retention Time

14 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

See Individual Test IDs

CPT Code Information

82175

82300

83825

83655

LOINC Code Information

Test ID Test Order Name Order LOINC Value
HMU24 Heavy Metal Scrn w/Reflex, 24 Hr, U In Process

 

Result ID Test Result Name Result LOINC Value
8678 Cadmium, 24 Hr, U 5612-7
48539 Arsenic, 24 Hr, U 5587-1
92408 Mercury, 24 Hr, U 6693-6
92409 Lead, 24 Hr, U 5677-0
TIME4 Collection Duration 13362-9
92215 Arsenic Concentration w/Reflex 21074-0
VL16 Total Volume 3167-4

NY State Approved

Yes

Urine Preservative Collection Options

Note: The addition of preservative or application of temperature controls must occur within 4 hours of completion of the collection.

Ambient

No

Refrigerate

Preferred

Frozen

Yes

50% Acetic Acid

Yes

Boric Acid

No

Diazolidinyl Urea

No

6M Hydrochloric Acid

Yes

6M Nitric Acid

No

Sodium Carbonate

No

Thymol

No

Toluene

Yes