WML Test Directory Update Heavy Metal Update | October 2025

Announcement

The update for which you searched was implemented before July 2026. The was/is format for test updates is not available for this search; however, the result of the search will show a description of the change. Was/Is comparisons of changes will appear only for updates effective July 2026 onwards.

Update Summary

Effective Date	Update Type	Name
10/21/2025	Inactivated/Replace Test	CHRMS – “Chromium, Serum” replaced by CHRMP – “Chromium, Serum/Plasma”	Jump to update
10/21/2025	Inactivated/Replace Test	COPS – “Copper” replaced by COPP – “Copper, Serum/Plasma”	Jump to update
10/21/2025	Inactivated/Replace Test	SELS – “Selenium” replaced by SELP – “Selenium, Serum/Plasma”	Jump to update
10/21/2025	Inactivated/Replace Test	ZINC – “Zinc, Plasma” replaced by ZINCP – “Zinc, Serum/Plasma”	Jump to update

CHRMS – “Chromium, Serum” replaced by CHRMP – “Chromium, Serum/Plasma”

Effective Date 10/21/2025

Update Type Inactivated/Replace Test

Test Update View Test Update ›

Inactivated Test Details

Mnemonic

CHRMS

Ordering Code

3422860

CPT-4 Codes(s)

82495

Replacement Test Details

Mnemonic

CHRMP

Ordering Code

3000429

CPT-4 Codes(s)

82495

Turnaround Time

2 - 5 days

Performed

Monday - Friday

Legacy Code

CHRMP

Example Report

Download

Specimen Information

Patient Preparation

Patient should refrain from taking vitamins, mineral or herbal supplements at least 1 week prior to specimen collection.

Collect

Dark blue trace element no additive

Specimen Preparation

Draw one dark blue trace element no additive tube and discard. Draw second dark blue trace element no additive tube, allow to clot in an upright position. Spin and send 2.0 mL serum refrigerated in a Quest trace element serum transport tube (red label).
Tests performed on a specimen submitted in a non-trace element tube or non-acid washed/non-metal free container may not accurately reflect the patients level. If a non-trace element tube/container is received, it will be accepted for testing; however, elevated results are reported with the message that resubmission with a trace element tube/container is recommended.

Minimum Volume

1.0 mL

Transport Temperature

Refrigerated

Stability

Room temperature: 5 days
Refrigerated: 10 days
Frozen: 21 days

Methodology

Inductively-Coupled Plasma/Mass Spectrometry

Reference Range

<1.4 mcg/L

Performing Laboratory

Quest

New York DOH Approval Status

Test Name	Ordering Code	Result Code	Component Name	LOINC Code	AOE Prompt	Units
Chromium, Serum	3422860
		3422860	Chromium, Serum	5622-6	No

COPS – “Copper” replaced by COPP – “Copper, Serum/Plasma”

Effective Date 10/21/2025

Update Type Inactivated/Replace Test

Test Update View Test Update ›

Inactivated Test Details

Mnemonic

COPS

Ordering Code

1004750

CPT-4 Codes(s)

82525

Replacement Test Details

Mnemonic

COPP

Ordering Code

3000426

CPT-4 Codes(s)

82525

Turnaround Time

2 - 5 days

Performed

Monday - Friday

Legacy Code

COPP

Example Report

Download

Specimen Information

Collect

Dark blue trace element no additive

Specimen Preparation

Centrifuge, separate serum from cells within 2 hours by carefully pouring 2.0 mL serum into a screw capped plastic vial. Do not pipette serum or plasma. Do not ream with wooden stick.

Alternate Specimen

Plasma: Dark blue trace element EDTA

Minimum Volume

1.0 mL

Transport Temperature

Refrigerated

Rejection Criteria

Gross hemolysis, Gel barrier tubes, serum or plasma not separated from cells within 2 hours.

Stability

Room temperature: 7 days
Refrigerated: 14 days
Frozen: 30 days

Methodology

Inductively Coupled Plasma/Mass Spectrometry (ICP/MS)

Reference Range

Male: 70 - 140 μg/dL
Female: 70 - 160 μg/dL

Performing Laboratory

Warde Medical Laboratory

New York DOH Approval Status

Yes

Test Name	Ordering Code	Result Code	Component Name	LOINC Code	AOE Prompt	Units
Copper, Serum/Plasma	3000426
		3000426	Copper, Serum/Plasma	5631-7	No

SELS – “Selenium” replaced by SELP – “Selenium, Serum/Plasma”

Effective Date 10/21/2025

Update Type Inactivated/Replace Test

Test Update View Test Update ›

Inactivated Test Details

Mnemonic

SELS

Ordering Code

3706520

CPT-4 Codes(s)

84255

Replacement Test Details

Mnemonic

SELP

Ordering Code

3000421

CPT-4 Codes(s)

84255

Turnaround Time

2 - 5 days

Performed

Monday - Friday

Legacy Code

SELP

Example Report

Download

Specimen Information

Collect

Dark blue trace element no additive

Specimen Preparation

Centrifuge, separate serum from cells within 2 hours by carefully pouring 2.0 mL serum into a screw capped plastic vial. Do not pipette serum or plasma. Do not ream with wooden stick.

Alternate Specimen

Plasma: Dark blue trace element EDTA

Minimum Volume

1.0 mL

Transport Temperature

Refrigerated

Rejection Criteria

Gross hemolysis, Gel barrier tubes, serum or plasma not separated from cells within 2 hours.

Stability

Room temperature: 7 days
Refrigerated: 14 days
Frozen: 30 days

Methodology

Inductively Coupled Plasma/Mass Spectrometry (ICP/MS)

Reference Range

5.0 - 16.0 μg/dL

Performing Laboratory

Warde Medical Laboratory

New York DOH Approval Status

Test Name	Ordering Code	Result Code	Component Name	LOINC Code	AOE Prompt	Units
Selenium, Serum/Plasma	3000421
		3000421	Selenium, Serum/Plasma	5724-0	No

ZINC – “Zinc, Plasma” replaced by ZINCP – “Zinc, Serum/Plasma”

Effective Date 10/21/2025

Update Type Inactivated/Replace Test

Test Update View Test Update ›

Inactivated Test Details

Mnemonic

ZINC

Ordering Code

1004900

CPT-4 Codes(s)

84630

Replacement Test Details

Mnemonic

ZINCP

Ordering Code

3000418

CPT-4 Codes(s)

84630

Turnaround Time

2 - 5 days

Performed

Monday - Friday

Legacy Code

ZINCP

Example Report

Download

Specimen Information

Collect

Dark blue trace element no additive

Specimen Preparation

Centrifuge, separate serum from cells within 2 hours by carefully pouring 2.0 mL serum into a screw capped plastic vial. Do not pipette serum or plasma. Do not ream with wooden stick.

Alternate Specimen

Plasma: Dark blue trace element EDTA

Minimum Volume

1.0 mL

Transport Temperature

Refrigerated

Rejection Criteria

Gross hemolysis, Gel barrier tubes, serum or plasma not separated from cells within 2 hours.

Stability

Room temperature: 24 hours
Refrigerated: 7 days
Frozen: 14 days

Methodology

Inductively Coupled Plasma/Mass Spectrometry (ICP/MS)

Reference Range

50 - 150 μg/dL

Performing Laboratory

Warde Medical Laboratory

New York DOH Approval Status

Yes

Test Name	Ordering Code	Result Code	Component Name	LOINC Code	AOE Prompt	Units
Zinc, Serum/Plasma	3000418
		3000418	Zinc, Serum/Plasma	5763-8	No

October 2025 WML Test Directory Update Heavy Metal Update

Announcement

Update Summary

CHRMS – “Chromium, Serum” replaced by CHRMP – “Chromium, Serum/Plasma”

Inactivated Test Details

Mnemonic

Ordering Code

CPT-4 Codes(s)

Replacement Test Details

Mnemonic

Ordering Code

CPT-4 Codes(s)

Specimen Information

Patient Preparation

Collect

Specimen Preparation

Minimum Volume

Transport Temperature

Stability

Methodology

Reference Range

Performing Laboratory

New York DOH Approval Status

Interface Map for CHRMS

COPS – “Copper” replaced by COPP – “Copper, Serum/Plasma”

Inactivated Test Details

Mnemonic

Ordering Code

CPT-4 Codes(s)

Replacement Test Details

Mnemonic

Ordering Code

CPT-4 Codes(s)

Specimen Information

Collect

Specimen Preparation

Alternate Specimen

Minimum Volume

Transport Temperature

Rejection Criteria

Stability

Methodology

Reference Range

Performing Laboratory

New York DOH Approval Status

Interface Map for COPP

SELS – “Selenium” replaced by SELP – “Selenium, Serum/Plasma”

Inactivated Test Details

Mnemonic

Ordering Code

CPT-4 Codes(s)

Replacement Test Details

Mnemonic

Ordering Code

CPT-4 Codes(s)

Specimen Information

Collect

Specimen Preparation

Alternate Specimen

Minimum Volume

Transport Temperature

Rejection Criteria

Stability

Methodology

Reference Range

Performing Laboratory

New York DOH Approval Status

Interface Map for SELP

ZINC – “Zinc, Plasma” replaced by ZINCP – “Zinc, Serum/Plasma”

Inactivated Test Details

Mnemonic

Ordering Code

CPT-4 Codes(s)

Replacement Test Details

Mnemonic

Ordering Code

CPT-4 Codes(s)

Specimen Information

Collect

Specimen Preparation