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Test Code M84458 Trace Element Nutrition Profile

Additional Codes

Supplemental Test Code
84458

Reporting Title

Trace Element Nutrition Profile

Methodology

Profile Information:
Unit CodeReporting TitleAvailable Separately
   
8413Manganese, SYes
8638Chromium, SYes
9765Selenium, SYes
8620Zinc, SYes
8612Copper, SYes

Method Name:

#8638:  Dynamic Reaction Cell Inductively Coupled Plasma-Mass Spectrometry (DRC-ICP-MS)

#8413, #9765:  Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)

#8620, #8612:  Inductively Coupled Plasma (ICP) Optical Emission Spectrometry (OES)

Performing Laboratory

Munson Healthcare Laboratories/Mayo Medical Laboratories

Physician Office Specimen Requirements

1. Draw blood in a plain, royal blue-top Monoject® trace element blood collection tube(s)-product #8881-307006 (Supply T184).
2. Allow the specimen to clot for 30 minutes; then centrifuge the specimen to separate serum from the cellular fraction. Serum must be removed from cellular fraction within 4 hours of specimen collection.

3. Remove the stopper. Carefully pour 1 mL (minimum volume:  0.5 mL) of serum into a 7-mL Mayo metal-free, screw-capped, polypropylene vial (Supply T173), avoiding transfer of the cellular components of blood. Do not insert a pipet into the serum to accomplish transfer, and do not ream the specimen with a wooden stick to assist with serum transfer.

4. See “Metals Analysis - Collection and Transport” in “Special Instructions” for complete instructions.

5. Send specimen refrigerated.

Test Classification and CPT Coding

CPT Code:

82495 - chromium

82525 - copper

83785 - manganese

84255 - selenium

84630 - zinc