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23110 Heavy Metals Screen, Blood (HMDB)

Heavy Metals Screen, Blood (HMDB)
Test Code: HMBSO
Synonyms/Keywords
Arsenic (As), As (Arsenic), Cadmium (Cd), Cd (Cadmium), Heavy Metals, Heavy Metals Screen - Blood, Hg (Mercury), Lead (Pb), Mercury (Hg), Metals Screen, Pb (Lead)​
Test Components
​Arsenic (As)
Cadmium (Cd)
Mercury (Hg)
Lead (Pb)
Useful For
​Detecting exposure to arsenic, lead, cadmium, and mercury
Specimen Requirements
Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
Whole blood​ Royal Blue Top Tube (RBTT) (EDTA) Vacutainer plastic trace element blood collection tube​ ​ Full tube​
 
0.3 mL
​		 ​
Collection Processing Instructions
​1. See Metals Analysis-Collection and Transport in Special Instructions for complete instructions.
Trace Metals Analysis - Specimen Collection and Transport
2. Send specimen in original collection tube.
3. The following information must be provided for all "Lead" and "Heavy Metals" testing to fulfill state requirements and CBC recommendations.  See Lead/Heavy Metals Reporting Form.
 
Additional Information: 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.
Specimen Stability Information
Specimen Type Temperature Time
Whole blood​ ​ ​ Refrigerated (preferred)​ 28 days​
Ambient ​ 28 days​
Frozen ​ 28 days​
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Mayo Medical Laboratories Monday through Saturday
1 day​
Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)​
Reference Lab
Mayo Clinic Laboratories
Reference Range Information

ARSENIC
0-12 ng/mL
Reference values apply to all ages

LEAD
All ages: 0.0-4.9 mcg/dL
Critical Values
Pediatrics (<=15 years: >=20.0 mcg/dL
Adults (>=16 years): >=70.0 mcg/dL

CADMIUM
0.0-4.9 ng/mL
Reference values apply to all ages

MERCURY
0-9 ng/mL
Reference values apply to all ages

Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
82175​ ​ ​ Arsenic​ ​
 82300 ​ ​ Cadmium​ ​
83655​ ​ ​ Lead​ ​
83825​ ​ ​ Mercury​ ​
Synonyms/Keywords
Arsenic (As), As (Arsenic), Cadmium (Cd), Cd (Cadmium), Heavy Metals, Heavy Metals Screen - Blood, Hg (Mercury), Lead (Pb), Mercury (Hg), Metals Screen, Pb (Lead)​
Test Components
​Arsenic (As)
Cadmium (Cd)
Mercury (Hg)
Lead (Pb)
Ordering Applications
Ordering Application Description
​Centricity ​None
​Cerner ​Heavy Metals Scn Blood
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
Whole blood​ Royal Blue Top Tube (RBTT) (EDTA) Vacutainer plastic trace element blood collection tube​ ​ Full tube​
 
0.3 mL
​		 ​
Collection Processing
​1. See Metals Analysis-Collection and Transport in Special Instructions for complete instructions.
Trace Metals Analysis - Specimen Collection and Transport
2. Send specimen in original collection tube.
3. The following information must be provided for all "Lead" and "Heavy Metals" testing to fulfill state requirements and CBC recommendations.  See Lead/Heavy Metals Reporting Form.
 
Additional Information: 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.
Specimen Stability Information
Specimen Type Temperature Time
Whole blood​ ​ ​ Refrigerated (preferred)​ 28 days​
Ambient ​ 28 days​
Frozen ​ 28 days​
Useful For
​Detecting exposure to arsenic, lead, cadmium, and mercury
Test Components
​Arsenic (As)
Cadmium (Cd)
Mercury (Hg)
Lead (Pb)
Reference Range Information

ARSENIC
0-12 ng/mL
Reference values apply to all ages

LEAD
All ages: 0.0-4.9 mcg/dL
Critical Values
Pediatrics (<=15 years: >=20.0 mcg/dL
Adults (>=16 years): >=70.0 mcg/dL

CADMIUM
0.0-4.9 ng/mL
Reference values apply to all ages

MERCURY
0-9 ng/mL
Reference values apply to all ages

For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Mayo Medical Laboratories Monday through Saturday
1 day​
Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)​
Reference Lab
Mayo Clinic Laboratories
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
82175​ ​ ​ Arsenic​ ​
 82300 ​ ​ Cadmium​ ​
83655​ ​ ​ Lead​ ​
83825​ ​ ​ Mercury​ ​
For most current information refer to the Marshfield Laboratory online reference manual.