Test Overview
Test Methodology

Inductively Coupled Plasma/Mass Spectrometry (ICP/MS)

Test Usage

Determining bismuth toxicity. Whole blood is the preferred specimen for assessment of bismuth exposure.

Reference Range *

< 1 ng/mL (unexposed); 4 - 30 ng/mL (therapeutic).

* Reference ranges may change over time. Please refer to the original patient report when evaluating results.

Test Details
Days Set Up
Wednesday
Analytic Time

2 - 10 days

Soft Order Code
MMLR
Laboratory
Sendout
Reference Laboratory
Mayo BIWB
Section
Special Testing
Specimen Requirements
Collection Instructions

Royal blue (trace element) and/or Metal-Free aliquot tubes are available from MLabs (800-862-7284). Collect blood in a royal blue top (trace element) tube with EDTA (K2). Immediately mix blood sample by inverting gently 8 times. Refrigerate and send intact whole blood specimen. Do not collect specimens for trace metal testing from patients who have received gadolinium-, iodine-, or barium-containing contrast material within the past 96 hours. These metal-based contrast agents are known to interfere with laboratory techniques commonly used for trace metals analysis.

Contraindications
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.
Normal Volume
0.8 mL whole blood
Minimum Volume
0.25 mL whole blood
Additional Information

Test sent to Mayo Medical Laboratories.

Billing
CPT Code
83018
Fee Code
32104
LOINC
5598-8