Patient Preparation

See phlebotomy lead collection procedure.

Collect

royal blue vacutainer (K2EDTA)
 

Storage/Transport Temperature

Room temp or Refrigerated

Unacceptable Conditions

Heparin anticoagulant, clotted

Remarks

This test is for venous collection only

Stability (from collection to initiation)

If the specimen is drawn and stored in the appropriated container, lead values are stable for 5 weeks at room temperature and refrigerated at 2-8ºC.  Upon receipt in the lab, samples will be refrigerated prior to analysis.  After analysis, samples are stored at 2-8ºC for 5 days.

Minimum Requirements

0.5 mL Whle Blood

Alternate Specimen Requirements

Lavender Tube (EDTA) (not for confirmation blood lead testing)

Test Barcode Number

29171

Lab Section

Toxicology

Methodology

Graphite Furnace Atomic Absorption Spectrometry (GFAAS)

Test developed and characteristics determined by UR Medicine Labs

Performed

Tues., Thurs., Friday - cut-off 9am
Excludes holidays

Reported

Within 72 hours from receipt (excluding weekends and holidays)

Reference Lab Number

00156

Performing Laboratory Website (click below)

Notes

Non-certified lead free tubes will have the following comment if results are:
> 3.5 µg/dl for ages 0-5 years  OR  > 5.0 µg/dL for ages > 6 years

The use of non-certified lead-free tubes might produce a falsely elevated result.  Repeat testing is recommended prior to initiating chelation therapy or conducting environmental investigations of potential lead sources.  Repeat testing should be performed on a venipuncture using a Certified lead-free tube (Tan or Royal Blue top tube).

Reference Interval

Age Reference Interval
0-5 years 0 - 3.4 µg/dL
> 6 years 0 - 4.9 µg/dL

CPT Codes

83655

LOINC Mapping

5671-3

Order Type (Individual or Group)

G

Group Test Information

Result Test ID Reportable Result Test Name Result Type Type (Alpha or Numeric) Prompt Test
PBRSN Y LEAD TEST REASON I A Y
PBTYP N LEAD TEST SPECIMEN TYPE I A Y
GLAST Y GUARDIAN LAST NAME I A Y
GFRST Y GUARDIAN FIRST NAME I A Y
PBVEN Y LEAD,VENOUS I N  

Prompt Test

PBRSN - Response Options (Case Sensititive)
1. INITIAL
2. REPEAT
3. FOLLOW-UP

PBTYP - Response Options (Case Sensititive)
1. VENOUS

GLAST - Response if patient is 1. Guardian Last Name

GFRST - Response if patient is 1. Guardian First Name

Reflex Test(s)?

The following tests can sometimes be reflexed on to LEAD order. 

CPT Codes

83655

LOINC Mapping

5671-3

Pricing

Refer to Lab Account Manager. email: labservicesoutreach@urmc.rochester.edu
Specimen Requirements

Patient Preparation

See phlebotomy lead collection procedure.

Collect

royal blue vacutainer (K2EDTA)
 

Storage/Transport Temperature

Room temp or Refrigerated

Unacceptable Conditions

Heparin anticoagulant, clotted

Remarks

This test is for venous collection only

Stability (from collection to initiation)

If the specimen is drawn and stored in the appropriated container, lead values are stable for 5 weeks at room temperature and refrigerated at 2-8ºC.  Upon receipt in the lab, samples will be refrigerated prior to analysis.  After analysis, samples are stored at 2-8ºC for 5 days.

Minimum Requirements

0.5 mL Whle Blood

Alternate Specimen Requirements

Lavender Tube (EDTA) (not for confirmation blood lead testing)

Test Barcode Number

29171
Testing

Lab Section

Toxicology

Methodology

Graphite Furnace Atomic Absorption Spectrometry (GFAAS)

Test developed and characteristics determined by UR Medicine Labs

Performed

Tues., Thurs., Friday - cut-off 9am
Excludes holidays

Reported

Within 72 hours from receipt (excluding weekends and holidays)

Reference Lab Number

00156

Performing Laboratory Website (click below)

Notes

Non-certified lead free tubes will have the following comment if results are:
> 3.5 µg/dl for ages 0-5 years  OR  > 5.0 µg/dL for ages > 6 years

The use of non-certified lead-free tubes might produce a falsely elevated result.  Repeat testing is recommended prior to initiating chelation therapy or conducting environmental investigations of potential lead sources.  Repeat testing should be performed on a venipuncture using a Certified lead-free tube (Tan or Royal Blue top tube).
Result Interpretation

Reference Interval

Age Reference Interval
0-5 years 0 - 3.4 µg/dL
> 6 years 0 - 4.9 µg/dL
Coding

CPT Codes

83655

LOINC Mapping

5671-3
URM Labs Internal
Test Build

Order Type (Individual or Group)

G

Group Test Information

Result Test ID Reportable Result Test Name Result Type Type (Alpha or Numeric) Prompt Test
PBRSN Y LEAD TEST REASON I A Y
PBTYP N LEAD TEST SPECIMEN TYPE I A Y
GLAST Y GUARDIAN LAST NAME I A Y
GFRST Y GUARDIAN FIRST NAME I A Y
PBVEN Y LEAD,VENOUS I N  

Prompt Test

PBRSN - Response Options (Case Sensititive)
1. INITIAL
2. REPEAT
3. FOLLOW-UP

PBTYP - Response Options (Case Sensititive)
1. VENOUS

GLAST - Response if patient is 1. Guardian Last Name

GFRST - Response if patient is 1. Guardian First Name

Reflex Test(s)?

The following tests can sometimes be reflexed on to LEAD order. 

CPT Codes

83655

LOINC Mapping

5671-3

Pricing

Refer to Lab Account Manager. email: labservicesoutreach@urmc.rochester.edu