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Test Code 9619 Cobalt, 24 Hour, Urine

Additional Codes

Mayo Test ID
COU

Reporting Name

Cobalt, 24 Hr, U

Useful For

Detecting cobalt exposure

 

Monitoring metallic prosthetic implant wear

 

This test is not useful to assess vitamin B12 activity.

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Urine


Ordering Guidance


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



Necessary Information


24-Hour volume (in milliliters) is required.



Specimen Required


Supplies: Urine Tubes, 10 mL (T068)

Collection Container/Tube: Clean, plastic urine container with no metal cap or glued insert

Submission 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.

3. 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.


Barnes-Jewish Hospital Note:

Call Laboratory Medicine resident at digital pager 314-747-1320 for approval before obtaining the specimen.

 

Submit an entire 24-hour urine collection in a plain, brown urine container.

Additional Information:

1. Starting and ending times of collection are required.
2. Follow instructions for Urine Collection in Special Instructions.

3. Urine timed measurement is performed at an additional charge per 24-hour collection (CPT Code-81050).

 

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

Reference Values

0-17 years: Not established

≥18 years: 0.2-3.5 mcg/24 hours

Day(s) Performed

Tuesday, Wednesday, Friday

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

83018

LOINC Code Information

Test ID Test Order Name Order LOINC Value
COU Cobalt, 24 Hr, U 29916-4

 

Result ID Test Result Name Result LOINC Value
80083 Cobalt, 24 Hr, U 29916-4
TM75 Collection Duration 13362-9
VL64 Urine Volume 3167-4

Report Available

1 to 4 days

Method Name

Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)

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

No

Boric Acid

No

Diazolidinyl Urea

No

6M Hydrochloric Acid

No

6M Nitric Acid

No

Sodium Carbonate

No

Thymol

No

Toluene

No

Barnes-Jewish Hospital Additional Information:

For BJH Laboratory Use Only
Laboratory Processing Instructions:

Call Laboratory Medicine resident at digital pager 314-747-1320 for approval before drawing the specimen.

BJH Core Laboratory will forward to the performing laboratory.