Bismuth

Label Mnemonic:	BIS
Epic code:	LAB2720
Downtime form:	Doctor/Provider Orders - Pathology Core and Specialty Care Nursery

Commercial Mailout Laboratory
6240-8 RCP
356-8593

Specimen(s):

Whole Blood

Specimen Instructions:

Patient Prep: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, and non- essential over-the-counter medications (upon the advice of their physician).

Collection Medium:

Royal Blue K2 EDTA tube

Minimum:

Preferred Adult minimum = 7 mL whole blood from Royal Blue K2EDTA tube
Absolute Adult minimum = 0.5 mL whole blood from Royal Blue K2EDTA 
tube

Rejection Criteria:

Specimens collected in tubes other than Royal Blue (EDTA). Specimens transported in containers other than a Royal Blue (EDTA) tube or Trace Element-Free Transport Tube. Heparin anticoagulant. Clotted specimens.

Testing Schedule:

Sunday-Saturday

Turn Around Time:

1-3 days upon receipt at reference laboratory

Reference Range:

Less than or equal to 5.0 μg/L

Interpretive Data:

Elevated results may be due to skin or collection-related contamination, including the use of a noncertified metal-free collection/transport tube. If contamination concerns exist due to elevated levels of blood bismuth, confirmation with a second specimen collected in a certified metal-free tube is recommended.

Methodology:

Quantitative Inductively Coupled Plasma/Mass Spectrometry

CPT Code:

83018