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HelpTest Code CRUO Chromium Occupational Exposure, Random, Urine
Ordering Guidance
High concentrations of gadolinium and iodine are known to interfere with most metal tests. If either gadolinium- or iodine-containing contrast media has been administered, a specimen should not be collected for 96 hours.
Specimen Required
Supplies: Sarstedt Aliquot Tube 5 mL (T914)
Collection Container/Tube: Clean, plastic urine collection container
Submission Container/Tube: Plastic, 5-mL tube or a clean, plastic aliquot container with no metal cap or glued insert
Specimen Volume: 3 mL
Collection Instructions:
1. Collect a random urine specimen.
2. See Metals Analysis Specimen Collection and Transport for complete instructions.
Useful For
Screening for occupational exposure
Profile Information
| Test ID | Reporting Name | Available Separately | Always Performed |
|---|---|---|---|
| CROM1 | Chromium Occupational Exposure, U | No | Yes |
| CRETR | Creatinine, Random, U | No | Yes |
Special Instructions
Method Name
CROM1: Inductively Coupled Plasma-Mass Spectrometry (ICP-MS)
CRETR: Enzymatic Colorimetric Assay
Reporting Name
Chromium Occupat Exp, Random, USpecimen Type
UrineSpecimen Minimum Volume
2 mL
Specimen Stability Information
| Specimen Type | Temperature | Time | Special Container |
|---|---|---|---|
| Urine | Refrigerated (preferred) | 28 days | |
| Frozen | 28 days | ||
| Ambient | 14 days |
Reject Due To
| All specimens will be evaluated at Mayo Clinic Laboratories for test suitability. |
Clinical Information
Chromium (Cr) has an atomic mass of 51.996, atomic number 24, and valences ranging from 2 to 6(+). Hexavalent chromium, Cr(6+), and trivalent chromium, Cr(3+), are the 2 most prevalent forms. Cr(3+) is the only oxidation state present under normal physiologic conditions. Cr(6+) is widely used in industry to make chromium alloys including stainless steel pigments and electroplated coatings. Cr(6+), a known carcinogen, is rapidly metabolized to Cr(3+). Cr(3+) is the only form present in human urine.
Reference Values
0-17 years: Not established
≥18 years: The American Conference of Governmental Industrial Hygienists (ACGIH) Biological Exposure Index (BEI) for daily occupational exposure to hexavalent chromium in urine is an increase of 10.0 mcg/L between pre-shift and post-shift urine collections. The ACGIH BEI for long- and short-term hexavalent chromium in urine is an end-of-shift concentration above 24.9 mcg/L at the end of the work week.
Interpretation
The National Institute for Occupational Safety and Health draft document on occupational exposure reviews the data supporting use of urine to assess chromium exposure.(1) They recommend a Biological Exposure Index of 10 mcg/g creatinine and 30 mcg/g creatinine for the increase in urinary chromium concentrations during a work shift and at the end of shift at the end of the workweek, respectively (Section 3.3.1).
Cautions
Normal specimens have extremely low levels of chromium; elevated results could easily be a result of external contamination. Precautions must be taken to ensure the specimen is not contaminated. Metal-free urine collection procedures must be followed. Refrigeration is preferred over chemical methods of preservation.
Method Description
The metal of interest is analyzed by inductively coupled plasma mass spectrometry.(Unpublished Mayo method)
Performing Laboratory
Mayo Clinic Laboratories in Rochester
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
82495
82570
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| CRUO | Chromium Occupat Exp, Random, U | 13464-3 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| CRETR | Creatinine, Random, U | 2161-8 |
| 607761 | Chromium Occupational Exposure | 13464-3 |
| 608390 | Chromium Concentration | 5623-4 |
Day(s) Performed
Tuesday, Wednesday, Friday