Ordering Recommendations

Recommended for routine testing for lead exposure. For occupational exposure, consider Lead, Industrial, Whole Blood (0025016).

Orderable SIM Number(s)

LEAD, BLOOD (LAB98)

Synonyms

  • BLL
  • Lead (Adult)
  • Pb
  • Pb, Blood
  • Pb, Whole Blood
  • Venous blood level
  • LAB98

ARUP Test Code

0020098

Collect

Royal blue (K2EDTA), Royal blue (NaHep), or tan (K2EDTA).

Specimen Preparation

Transport 3 or 6 mL whole blood in the original collection tube (royal blue). (Min: 0.5 mL) OR Transport 3 mL whole blood in the original collection tube (tan). (Min: 0.5 mL)

Storage/Transport Temperature

Room temperature. Also acceptable: Refrigerated.

Unacceptable Conditions

Serum. Specimens collected in tubes other than royal blue (K2EDTA), royal blue (NaHep), or tan (K2EDTA). Clotted specimens. Capillary pediatric EDTA collection tubes, refer to Lead, Whole Blood (Capillary) 0020745.

Stability (from collection to initiation)

Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable

Special Handling Instructions

**Do not use lavender EDTA tubes.  The stopper may contaminate the specimen with trace heavy metals. Always collect metal free tubes before other tube types to prevent contamination.


 




Submit one of the following with the specimen:

Demographic form printed from Epic

OR

Public Health Demographic form (see link below)

http://ltd.aruplab.com/api/ltd/pdf/6
 

Additional Technical Information

Reference Interval

Components
Reference Interval
Lead, Whole Blood (Venous)Less than or equal to 3.4 µg/dL

Interpretive Data

Reference intervals are based on the CDC's Blood Lead Reference Value (BLRV). Thresholds and time intervals for retesting, medical evaluation, and response vary by state and regulatory body. Contact your State Department of Health and/or applicable regulatory agency for specific guidance on medical management recommendations.

Elevated results may be due to skin- or collection-related contamination, including the use of tubes that are not certified to be trace element free. If an elevated result is suspected to be due to contamination, confirmation with a second specimen collected in a certified trace element-free tube is recommended.

Methodology: Inductively Coupled Plasma-Mass Spectrometry (ICP-MS).

CPT Codes

83655

Billable SIM Number(s)

3018365501

LOINC

  • 77307-7
Overview

Ordering Recommendations

Recommended for routine testing for lead exposure. For occupational exposure, consider Lead, Industrial, Whole Blood (0025016).

Orderable SIM Number(s)

LEAD, BLOOD (LAB98)

Synonyms

  • BLL
  • Lead (Adult)
  • Pb
  • Pb, Blood
  • Pb, Whole Blood
  • Venous blood level
  • LAB98

ARUP Test Code

0020098
Specimen

Collect

Royal blue (K2EDTA), Royal blue (NaHep), or tan (K2EDTA).

Specimen Preparation

Transport 3 or 6 mL whole blood in the original collection tube (royal blue). (Min: 0.5 mL) OR Transport 3 mL whole blood in the original collection tube (tan). (Min: 0.5 mL)

Storage/Transport Temperature

Room temperature. Also acceptable: Refrigerated.

Unacceptable Conditions

Serum. Specimens collected in tubes other than royal blue (K2EDTA), royal blue (NaHep), or tan (K2EDTA). Clotted specimens. Capillary pediatric EDTA collection tubes, refer to Lead, Whole Blood (Capillary) 0020745.

Stability (from collection to initiation)

Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable

Special Handling Instructions

**Do not use lavender EDTA tubes.  The stopper may contaminate the specimen with trace heavy metals. Always collect metal free tubes before other tube types to prevent contamination.


 




Submit one of the following with the specimen:

Demographic form printed from Epic

OR

Public Health Demographic form (see link below)

http://ltd.aruplab.com/api/ltd/pdf/6
 

Additional Technical Information

Interpretive

Reference Interval

Components
Reference Interval
Lead, Whole Blood (Venous)Less than or equal to 3.4 µg/dL

Interpretive Data

Reference intervals are based on the CDC's Blood Lead Reference Value (BLRV). Thresholds and time intervals for retesting, medical evaluation, and response vary by state and regulatory body. Contact your State Department of Health and/or applicable regulatory agency for specific guidance on medical management recommendations.

Elevated results may be due to skin- or collection-related contamination, including the use of tubes that are not certified to be trace element free. If an elevated result is suspected to be due to contamination, confirmation with a second specimen collected in a certified trace element-free tube is recommended.

Methodology: Inductively Coupled Plasma-Mass Spectrometry (ICP-MS).

Coding

CPT Codes

83655

Billable SIM Number(s)

3018365501

LOINC

  • 77307-7