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HelpTest Code LAB967 Chromium, Serum
Reporting Name
Chromium, SSCH Clinical System Name: Chromium Level
Useful For
Screening for occupational exposure
Monitoring metallic prosthetic implant wear
Ordering Guidance
The US Food and Drug Administration recommended test for monitoring chromium in patients with metal-on-metal implants is CRWB / Chromium, Blood.
Specimen Required
Patient Preparation: High concentrations of gadolinium and iodine are known to interfere with most metal tests. If either gadolinium- or iodine-containing contrast media has been administered, a specimen should not be collected for 96 hours.
Supplies: Metal Free Specimen Vial (T173)
Collection Container/Tube: Plain, royal blue-top Vacutainer plastic trace element blood collection tube
Submission Container/Tube: 7-mL Mayo metal-free, screw-capped, polypropylene vial
Specimen Volume: 0.5 mL
Collection Instructions:
1. Allow the specimen to clot for 30 minutes; then centrifuge the specimen to separate serum from the cellular fraction.
2. Remove the stopper. Carefully pour specimen into a Mayo metal-free, polypropylene vial, 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.
3. See Metals Analysis Specimen Collection and Transport for complete instructions.
Collect 1.0 mL whole blood in Navy Blue Top trace element tube. (Lawson #11930)
Processing Note: Use of a standard pipette is acceptable for aliquoting these samples.
Specimen Type
SerumSpecimen Minimum Volume
0.3 mL
Specimen Stability Information
| Specimen Type | Temperature | Time | Special Container |
|---|---|---|---|
| Serum | Refrigerated (preferred) | 28 days | METAL FREE |
| Ambient | 28 days | METAL FREE | |
| Frozen | 28 days | METAL FREE |
Day(s) Performed
Tuesday, Wednesday, Friday
TAT: 3 - 6 days
Performing Laboratory
Mayo Clinic Laboratories in Rochester
Method Name
Inductively Coupled Plasma-Mass Spectometry (DRC-ICP-MS)
Method Description
The metal of interest is analyzed by inductively coupled plasma mass spectrometry.(Unpublished Mayo method)
Reference Values
<0.3 ng/mL
When collected by a phlebotomist experienced in ultra-clean collection technique and handled according to the instructions in Metals Analysis Specimen Collection and Transport, we have observed the concentration of chromium in serum to be below 0.3 ng/mL. However, the majority of specimens submitted for analysis from unexposed individuals contain 0.3 ng/mL to 0.9 ng/mL of chromium. Commercial evacuated blood collection tubes not designed for trace-metal specimen collection yield serum containing 2.0 ng/mL to 5.0 ng/mL chromium derived from the collection tube.
Test Classification
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.CPT Code Information
82495
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| CRS | Chromium, S | 5622-6 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| 8638 | Chromium, S | 5622-6 |
Special Instructions
Report Available
1 to 4 daysReject Due To
| Gross hemolysis | OK |
| Gross lipemia | OK |
| Gross icterus | OK |