Update Type: Miscellaneous
Test Updated: 05/15/2024
Test Overview
Test Methodology

Inductively Coupled Plasma - Mass Spectrometry (ICP-MS)

Test Usage

Evaluate lead exposure or toxicity.

Reference Range *

<3.5 ug/dL (0-5 years)
<5.0 ug/dL (6 years and above)
Critical value: 70 ug/dL
Values >20 ug/dL are called to the provider

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

Test Details
Days Set Up
Tuesday, Wednesday, Friday, Saturday
Analytic Time

4 hours

Soft Order Code
WLEAD
MiChart Code
Lead, Blood
Synonyms
  • Pb
  • LEAD
  • BLOOD LEAD
  • Lead with Demographics
  • LEAD-B
  • PB-B
  • LEAD
Laboratory
Chemical Pathology
Section
Drug Analysis
Specimen Requirements
Collection Instructions

Royal blue top (trace element) tube (EDTA). Gently invert tube several times to avoid clot formation; clotted specimens are unacceptable. Refrigerate intact specimen. Complete the first three sections of the Michigan Department of Health and Human Services Blood Lead Analysis Form and submit with the specimen. The form can be found at https://mlabs.umich.edu/media/187.

Alternate Specimen
Royal blue top (trace element) tube (EDTA) and lavender top (EDTA) pediatric Microtainer® tube. The preferred specimen type for lead analysis is the tan (brown) top with EDTA tube or royal blue top (trace element) with EDTA for adults and the Becton-Dickinson Purple top Microtainer® tube for pediatrics. Occasionally lavender top EDTA tubes are received from clients with lead requests. These samples will be accepted and ordered in Specimen Processing with an order level comment &#34;@LEAD&#34; that states &#34;Specimen collected in lavender (EDTA) tube. If lead result is > 10ug/dl, suggest repeat using a Royal blue (metal free - EDTA) tube.&#34; [rev 9/02; 10/05]
Normal Volume
2 mL whole blood
Minimum Volume
0.5 mL whole blood
Billing
CPT Code
83655
Fee Code
33245
LOINC
77307-7