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Test Name:
Heavy Metals, Hair or Nails


  • SBMF No:
    42277
  • Performance Lab Name:
    Mayo Medical Laboratories
  • Test Mnemonic:
    HMP HN
  • ABN:
    Required – Not FDA-Approved
  • CPT Code:
    82175; 83655; 83825
  • Ref Lab Test No:
    Hair: 45479
    Nails: 31070
  • Test Includes:
    Arsenic (As), Hair or Nails
    Mercury (Hg), Hair or Nails
    Lead (Pb), Hair or Nails
  • Also See:
    42263 Arsenic, Hair or Nails
    42264 Lead, Hair or Nails
    42266 Mercury, Hair or Nails
  • Spec Type:
    Hair
  • Spec Container:
    Hair and Nails Collection Kit
  • Alt Spec Type:
    Nails
  • Alt Spec Container:
    Hair and Nails Collection Kit
  • Pref Vol:
    Hair: At least 0.5 g. Typically this is the length of an index finger and width of a pencil.
    Nails: 0.5 g. Clippings should be taken from all 10 fingernails or toenails.
  • Min Vol:
    0.1 g
  • Spec Collect:

    Hair
    Gather a lock of hair the width of the pencil from the back of head.
    Cut hair near scalp, cutting at least 3 inches. Do not cut scalp or pull hair from scalp.
    Place hair in hair container provided.
    Indicate patient name and source of hair on outside of container.
    NOTE: Head hair is the preferred specimen. If head hair is not available, pubic, beard, mustache or chest hair is acceptable if enough quantity can be obtained.
    Beard trimmings or razor clippings are not acceptable.
    Place container in bag provided.
    Indicate testing needed, and send appropriate paperwork.

    Nails
    Cut all 10 nails, either fingernails or toenails.
    Place nails in nail container provided.
    Indicate patient name and source of nails on outside of container.
    Place container in bag provided.
    Indicate testing needed, and send appropriate paperwork.

  • Spec Store Transport:
    Room temperature
  • Spec Remarks:
    Do not apply tape to hair.
    Patients that have used a Grecian® Formula product cannot have lead testing performed on their hair. Those products contain lead.
    Do not place nails in same container as hair.
    If both hair and nail testing is wanted, each must be placed under a separate order.
  • Methodology:
    Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)
  • Use:
    Refer to component tests for use and clinical significance
  • Reference Range:

    Arsenic, Hair/Nails
    0-15 years: Not Established
    16 years and older: 0.0-0.9 mcg/g

    Lead, Hair/Nails
    0.0-3.9 mcg/g

    Mercury, Hair/Nails
    0-15 years: Not Established
    16 years and older: 0.0-0.9 mcg/g

  • Additional Test Info:
    This test was developed and its performance characteristics determined by Laboratory Medicine and Pathology, Mayo Clinic. This test has not been cleared or approved by the U.S. Food and Drug Administration.
  • Day Run:
    Mon-Fri
  • Time Run:
    5:00 pm
  • Time Reported:
    3-4 days
  • Test Type:
    CHEMISTRY