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Test Code NIU Nickel, 24 Hour, Urine

Reporting Name

Nickel, 24 Hr, U

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Useful For

Preferred test for biomonitoring patients for nickel exposure to minimize any potential diurnal variation

Method Name

Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)


Ordering Guidance


This test is preferred for the determination of nickel exposure, but serum concentrations can be used to verify an elevated urine concentration. For more information see NIS / Nickel, Serum.



Necessary Information


24-Hour volume (in milliliters) is required.



Specimen Required


Patient Preparation: High concentrations of gadolinium and iodine are known to interfere with most metal tests. If gadolinium- or iodine-containing contrast media has been administered, a specimen should not be collected for 96 hours.

Supplies: Urine Tubes, 10 mL (T068)

Container/Tube: Plastic, 10-mL urine tube or clean, plastic aliquot container with no metal cap or glued insert

Specimen Volume: 0.5 mL

Collection Instructions:

1. Collect urine for 24 hours.

2. Refrigerate specimen within 4 hours of completion of 24-hour collection.

See Metals Analysis Specimen Collection and Transport for complete instructions.

Additional Information: See Urine Preservatives-Collection and Transportation for 24-Hour Urine Specimens for multiple collections.


Specimen Type

Urine

Specimen Minimum Volume

0.3 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Urine Refrigerated (preferred) 28 days
  Ambient  28 days
  Frozen  28 days

Reject Due To

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

Reference Values

0-17 years: not established

≥18 years: <6.0 mcg/24h

Interpretation

Values of 6.0 mcg/24-hour specimen and higher represent possible environmental or occupational exposure.

 

Hypernickelemia, in the absence of exposure, may be an incidental finding or could be due to specimen contamination.

Day(s) Performed

Thursday

Report Available

2 to 8 days

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

83885

LOINC Code Information

Test ID Test Order Name Order LOINC Value
NIU Nickel, 24 Hr, U 5705-9

 

Result ID Test Result Name Result LOINC Value
8626 Nickel, 24 Hr, U 5705-9
TM18 Collection Duration 13362-9
VL30 Urine Volume 3167-4

Urine Preservative Collection Options

Note: The addition of preservative or application of temperature controls must occur within 4 hours of completion of the collection.

Ambient

OK

Refrigerate

Preferred

Frozen

OK

50% Acetic Acid

OK

Boric Acid

No

Diazolidinyl Urea

No

6M Hydrochloric Acid

No

6M Nitric Acid

OK

Sodium Carbonate

No

Thymol

No

Toluene

No