Cadmium, Urine




Test Mnemonic

URCAD

CPT Codes

  • 82300 - QTY (1)

Includes

  • Creatinine, Urine per volume
  • Creatinine, Urine per 24 hour
  • Cadmium, Urine per volume
  • Cadmium, Urine per 24 hour
  • Cadmium, Urine ratio to CRT
  • Hours Collected
  • Total Volume

Performing Laboratory

ARUP


Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
8 mLUrine, 24-hour (well-mixed)Plastic containerRefrigerate during collection.RefrigeratedHEAVY METALS FORM REQUIRED to meet State Health Department requirements. Patient Prep: High concentrations of iodine may interfere with testing. Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, non-essential over-the-counter medications (upon the advice of their physician). Avoid iodine-containing medications or contrast agents for at least 1 month. Avoid gadolinium-based contrast media for at least 48 hours. Collection: Collect in a plastic container, mix well and aliquot into a trace metal free transport tube (ARUP #43116). Record total volume and collection time interval on specimen.

Alternate Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
8 mLUrine, randomPlastic containerN/ARefrigeratedHEAVY METALS FORM REQUIRED to meet State Health Department requirements. Patient Prep: High concentrations of iodine may interfere with testing. Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, non-essential over-the-counter medications (upon the advice of their physician). Avoid iodine-containing medications or contrast agents for at least 1 month. Avoid gadolinium-based contrast media for at least 48 hours. Collection: Collect in a plastic container, mix well and aliquot into a trace metal free transport tube (ARUP #43116). Record total volume and collection time interval on specimen.

Minimum Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
1 mL     

Stability

Environmental Condition Description
Ambient1 week
Refrigerated2 weeks
Frozen1 year

Days Performed

Sun - Sat

Turnaround Time

2 - 6 days

Methodology

Name Description
Inductively Coupled Plasma / Mass Spectrometry (ICP-MS) 

Reference Range

Cadmium, Urine-per 24 hour
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormal0.0 - 3.2ug/d
Cadmium, Urine-per volume
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormal0.0 - 1.0ug/L
Cadmium, Urine-ratio to CRT
Sex Age From Age To Type Range Range Unit
   Years99 YearsNormal0.0 - 3.2ug/g crt

Special Info

HEAVY METALS FORM REQUIRED to meet State Health Department requirements. Patient Prep: High concentrations of iodine may interfere with testing. Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, non-essential over-the-counter medications (upon the advice of their physician). Avoid iodine-containing medications or contrast agents for at least 1 month. Avoid gadolinium-based contrast media for at least 48 hours. Collection: Collect in a plastic container, mix well and aliquot into a trace metal free transport tube (ARUP #43116). Record total volume and collection time interval on specimen. Urine transported in a non-trace element-free tube or contaminated with iodine, gadolinium, blood, fecal material or acid preservative will be rejected. This test is New York DOH approved.

Clinical Info

This test may be useful in the assessment of chronic exposure and determination of cadmium body burden. In chronic exposures, the kidneys are the primary target organ. Symptoms associated with cadmium toxicity vary based upon route of exposure and may include tubular proteinuria, fever, headache, dyspnea, chest pain, conjunctivitis, rhinitis, sore throat and cough. Ingestion of cadmium in high concentration may cause vomiting, diarrhea, salivation, cramps, and abdominal pain.

Patient Info Sheet