Heavy Metal Creatinine Ratio, Urine, Random with Reflex, Urine

Centralized Core Laboratory : Chemistry

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. Heavy Metal Creatinine Ratio, Urine, Random with Reflex, Urine
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SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

HMCRU MAYO

Specimen Type:

Urine

Tube Type:

Clean plastic urine collection container

Collection Volume:

6.0 mL(minimum 3.0 mL)

Cause for Rejection:

urine container with a metal cap or glued insert

Storage:

Refrigerated

Availability:

Sent to Reference Laboratory

Methodology:

Inductively Coupled Plasma-Mass Spectrometry(ICP-MS) and Enzymatic Colorimetric Assay

Special Instructions:

Patient should not eat seafood for a 48 hour periods prior to start of collection. 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.

Lab/Phone:

330-543-8418

TAT:

1 days

Additional Info:

Reference range available on patient report

CPT Code:

82570,82175,82300,83825,83655, Reflex 82715

Panel Includes:

Creatinine Concentration Arsenic/Creatinine Ratio, U Cadmium/Creatinine Ratio, U Mercury/Creatinine Ratio, U Lead/Creatinine Ratio, U Reflex Test: Arsenic Fractionation, Random, U which includes Inorganic Arsenic(Toxic), Organic Arsenic(Non-Toxic) and Total Arsenic.

Specimen Collection Procedures:

Urines