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Test Code HMNA Heavy Metals, Nails

Reporting Name

Heavy Metals, Nails

Useful For

Detection of nonacute arsenic, mercury, and lead exposure

Profile Information

Test ID Reporting Name Available Separately Always Performed
ASNA Arsenic, Nails Yes Yes
PBNA Lead, Nails Yes Yes
HGNA Mercury, Nails Yes Yes

Method Name

Inductively Coupled Plasma Mass Spectrometry (ICP-MS)

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Nail


Necessary Information


Indicate source of nails (fingernails or toenails), if known



Specimen Required


Supplies: Hair and Nails Collection Kit (T565)

Specimen Volume: 0.2 g

Collection Instructions:

1. Prepare and transport specimen per the instructions in the kit or see Collecting Hair and Nails for Metals Testing.

2. Clippings should be taken from all 10 fingernails or toenails.


Specimen Minimum Volume

0.05 g

Reject Due To

All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.

Specimen Stability Information

Specimen Type Temperature Time Special Container
Nail Ambient (preferred)
  Frozen 
  Refrigerated 

Reference Values

ARSENIC

0-15 years: Not established

≥16 years: <1.0 mcg/g of nails

 

LEAD

<4.0 mcg/g of nails

Reference values apply to all ages.

 

MERCURY

0-15 years: Not established

≥16 years: <1.0 mcg/g of nails

Day(s) Performed

Tuesday

CPT Code Information

82175- ASNA

83655- PBNA

83825- HGNA

LOINC Code Information

Test ID Test Order Name Order LOINC Value
HMNA Heavy Metals, Nails 94574-1

 

Result ID Test Result Name Result LOINC Value
2535 Arsenic, Nails 8157-0
2509 Mercury, Nails 8204-0
2506 Lead, Nails 8202-4
PBNSC Specimen Source 31208-2
HGNSC Specimen Source 31208-2
ASNSC Specimen Source 31208-2

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.

Report Available

2 to 8 days