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Test Code CBL Lead, Capillary Blood

Useful For

This test is useful in determining lead toxicity

Synonyms/Keywords

Pb – capillary, Lead in blood – capillary

Specimen Requirements

Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
No EDTA whole blood EDTA microtainer Heparin microtainer 0.5 mL 0.3 mL 0.15 mL (not recommended)

Collection/Processing Instructions

Venipuncture is the method of choice for blood lead testing as it is less subject to contamination from the skin surface than capillary collection.

 

Lead Determination - Guidelines for Capillary Blood Collection

Specimen Stability Information

Specimen Type Temperature Time
EDTA whole blood from microtainer Refrigerate 1 week
Heparin whole blood from microtainer Refrigerate 1 week

Rejection Criteria

Specimens >25% clotted
Glass capillary tubes

Test Information

This test was developed and its performance characteristics determined by Marshfield Labs. It has not been cleared or approved by the US Food and Drug Administration. This test is used for clinical purposes. It should not be regarded as investigational or for research.

Interpretations

The laboratory is required to report the results of all blood lead tests, regardless of the concentration of lead in the blood, to the State of Wisconsin Dept. of Health and Family Services.  For pediatric lead levels ≥ 4 ug/dL, comments will be added to the report based on the CDC guidelines.

Reference Range Information

Performing Location Reference Range
Marshfield

0-5 years: 0-3 ug/dL*
6-17 years: 0-10 ug/dL
Adults (>17 years): 0-25 ug/dL


*Ruckart PZ, Jones RL, Courtney JG, et al. Update of the Blood Lead Reference Value - United States, 2021.  MMWR 2021;70:1509-1512.

Marshfield Labs Performing Department

Marshfield Labs Special Chemistry

Performing Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield Monday through Friday 6-8 hours Atomic Absorption/Thermo M6 Atomic Absorption Spectrometer with Dell Computer

CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
83655        

Outreach CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
83655        

Ordering Applications

Ordering Application Description
COM Lead, Blood-Capillary
Cerner Lead Level, Capillary

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