Test Directory

Test Code
LEAD
Test Name
Lead, Whole Blood
CPT Codes
83655
Expected Turnaround Time
1 - 3 days
Clinical Utility

Useful to evaluate lead exposure.

Specimen and Container Info

Specimen

Container

Volume

Whole Blood

Royal Blue Top (EDTA)

2 mL

Whole Blood

Tan Top (EDTA)

2 mL

Whole Blood -Capillary

Only Microtainer, Lavender Top (EDTA) (a regular sized Lavender top tube will not be accepted)

375 µL

Collection Instructions

Wash venipuncture or fingerstick site thoroughly with soap and water to remove any lead residue. Dry thoroughly with clean disposable towel.

Transport Instructions

Transport to the laboratory refrigerated.

Stability Requirements

Room Temperature

 7 Days

Refrigerated

 7 Days

Frozen

 Unacceptable
Causes for Rejection
  • Any tube not listed in the Specimens and Containers table will be rejected.
  • Clotted specimens will be rejected.
Methodology
Graphite Furnace Atomic Absorption Spectrometry (GFAAS)
Reference Intervals

Age Group

Reference Interval

Units

0 Days - 6 Years

<3.5

µg/dL

> 6 Years

<5.0

µg/dL

  • Repeat testing is recommended for capillary samples with lead levels greater than or equal to 3.5 µg/dL. Confirmation of elevated lead levels requires a venous blood draw to rule out skin or collection related contamination from environmental sources.
  • Blood levels greater than or equal to 3.5 µg/dL have been associated with adverse health effects in children. Refer to current CDC guidelines for recommended interventions.
  • For OSHA occupational monitoring, workers with whole blood lead levels at or above 40 µg/dL should be referred to a physician for medical evaluation and follow-up. Refer to OSHA for additional information.
Performing Location
Roble Road Core Laboratory
Alternate Names
Pb
Testing Schedule
Routine, 3 times per week