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Kansas Health and Environmental Laboratories (KHEL)Blood Lead Form GuideWe recommend shipping on Monday, Tuesday or Wednesday. Courier or other transport service may be transported Monday through Thursday. DO NOT ship on Friday. Blood Lead Universal Form Instructions Capillary Screening Draw:Please fill out the universal form in the highlighted fields shown below with ICD-10 code for a Capillary Screening Draw. There should be a separate form for Blood Lead specimens. Attach the label from the bottom of the sheet to the tube horizontally Blood Lead Universal Form Instructions Venous Confirmatory Draw:Please fill out the universal form in the highlighted fields shown below with ICD-10 code for a Venous Confirmatory Draw. There should be a separate form for Blood Lead specimens. *** ICD-10 Codes Most Commonly Used for Blood Lead (in no particular order)Z13.88Encounter for screening for disorder due to exposure to contaminantsZ77.011Contact with and (suspected) exposure to leadR78.71Abnormal lead level in bloodZ00.12Encounter for routine child health examinationZ00.121Encounter for routine child health examination with abnormal findingsZ00.129Encounter for routine child health examination without abnormal findings ................
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