Epic Code LAB2111119 Lead Screen Filter Paper
Test Name Alias
Lead Screen Filter Paper | Capillary Lead Screen | Dried Blood Screen Filter Paper | DBS | Resources | 9677
Interface Order Alias
10832
Collection Instructions
Capillary blood specimens should be applied to collection card, completely filling the circles. Care should be taken to completely fill the first circle on the card before moving to the next one. Card must be completely dry before placement into envelope, no less than 10 minutes but could take a few hours.
- Please wash child’s hand/heel with soap and water, concentrating on the site to be used. Use of friction is an important element in assuring that the site is clean of potential contaminants.
- Do not touch the filter paper to the finger or heel itself, only to the blood droplet.
- Collection tools should be kept covered and stored in clean, dust-free areas.
- When using filter paper, do not close the cover on the specimen card until the specimen (all circles) is completely dried. The cards may sit overnight (in a protected area) to dry completely, if needed.
- Please also take great care to avoid touching the collection portion of the card before you begin collection or while it is wet. You may unknowingly contaminate the card by doing so.
Spectrum Health Toxicology department can be contacted for any additional information at 616-267-2780.
Testing can be run off of 2 completely filled circles (toxicology needs 3 circles if results don’t agree), however, collector should still try and fill all 4 circles on the card.
Specimen Stability
Ambient: 28 days
Refrigerate: 28 days
Frozen: 28 days
Laboratory Retention: 2 weeks
Test Frequency
Available twice weekly, usual TAT 1-3 days.
Reference Range
Lead Screen Filter Paper
<3.5 mcg/dL (lower limit of detection is 2 mcg/dL)
In alignment with recommendations from the Center for Disease Control and Prevention (CDC) the reference range for blood leads has been updated from 5 mcg/dL to 3.5 mcg/dL.
Any elevated capillary blood specimens should be confirmed with a venous specimen because of possible contamination.
For guidance on recommend actions based on blood lead levels see the follow resources:
- CDC: Recommended Actions Based on Blood Lead Levels | Lead | CDC (https://www.cdc.gov/nceh/lead/advisory/acclpp/actions-blls.htm#anchor_1647349398342)
- MDHHS: For Healthcare Providers (michigan.gov) (https://www.michigan.gov/mileadsafe/professionals/healthcare-providers)
- Poison Control Center (1-800-222-1222)
- Pediatric Environmental Health Specialty Unit (PEHSU) (Families - PEHSU, https://www.pehsu.net/general_public.html)
Performing Department
Toxicology
Performing Department Laboratory Location
Corewell Health Reference Laboratory, Grand Rapids, MI
Methodology
Inductively Coupled Plasma-Mass Spectrometer (ICP-MS)
This test was developed, and its performance characteristics determined by Corewell Health Toxicology Laboratory. It has not been cleared or approved by the FDA. The laboratory is regulated under CLIA as qualified to perform high-complexity testing. This test is used for clinical purposes. It should not be regarded as investigational or for research.
CPT
83655
CDM Code
3018365506
Epic Test ID
1230100876
LOINC
Lead Screen Filter Paper: 10368-9
Mayo Access Code
SHO9677
Reviewed Date
2/15/2023