Result ID Reporting Name Type Unit LOINC. Z1886 Cortisol Alphanumeric ug/dl Z0226 Deoxycorticosterone (DOC) Alphanumeric ng/dl

Transcription

1 Reporting Title: CAH Profile 6 Performing Location: Esoterix Endocrinol Specimen Requirements: Draw blood in a plain, red-top tube(s). Spin down and separate within 1 hour of collection and send 3.5 ml of serum frozen in plastic vial. Specimen Type Temperature Time Serum Red Frozen 90 days Result Codes: Result ID Reporting Name Type Unit LOINC Z1886 Cortisol Alphanumeric ug/dl Z0226 Deoxycorticosterone (DOC) Alphanumeric ng/dl Z1889 Dehydroepiandrosterone (DHEA) Alphanumeric ng/dl Z Desoxycortisol (Spec Compound S) Alphanumeric ng/dl Z OH Pregnenolone Alphanumeric ng/dl Also used by tests: FPAP2 Z1894 Progesterone Alphanumeric ng/dl Z Alpha-Hydroxyprogesterone Alphanumeric ng/dl Z1901 Androstenedione Alphanumeric ng/dl Z1904 Testosterone, Serum (Total) Alphanumeric ng/dl LOINC and CPT codes are provided by the performing laboratory. Supplemental Report: No Components: Test ID Reporting Name CPT Units CPT Code Always Performed Orderable Separately Billing only Androstenedione, S Document generated October 20, 2016 at 11:43am CDT Page 1 of 6

2 Test ID Reporting Name CPT Units CPT Code Always Performed Billing only Desoxycortisol-Specific S Billing only Cortisol, S Billing only DHEA, S Billing only Deoxycorticosterone, S Billing only 17-OH-Pregnenolone, S Billing only Progesterone, S Billing only 17-OH-Progesterone, S Billing only Testosterone, S Orderable Separately Reference Values: Androstenedione Premature (26-28w) Day Premature (31-35w) Day Full Term (1-7 days) < Levels decrease rapidly to a range of <52 ng/dl after one week. 1-11m <10-37 Androstenedione gradually decreases during the first six months to prepubertal levels. Prepubertal Children <10-17 Adult Adult Postmenopausal <10-93 Tanner Stages (years) 1 <9.2 < < Tanner Stages (years) 1 <9.8 < < Document generated October 20, 2016 at 11:43am CDT Page 2 of 6

3 Cortisol Units: ug/dl Premature (26-28w) Day Premature (31-35w) Day Full Term Day Full Term Day d - 11m m - 15y (8:00 AM) Adults 8:00 AM :00 PM Deoxycorticosterone (DOC) Premature (26-28w) Day Premature (34-36w) Day Newborn: Levels are markedly elevated at birth and decrease rapidly during the first week to the range of 7-49 as found in older infants. 1-11m 7-49 Prepubertal Children 2-34 Pubertal Children and Adults 8:00 AM 2-19 Dehydroepiandrosterone (DHEA) 1-5 yrs < yrs < yrs < yrs < yrs < yrs yrs yrs > or = 50 yrs Desoxycortisol Premature (26-28w) Day Premature (31-35w) Day Newborn Day Document generated October 20, 2016 at 11:43am CDT Page 3 of 6

4 1-11m < Prepubertal 8:00 AM Pubertal Children and Adults 8:00 AM OH Pregnenolone Premature (26-28w) Day Premature (31-35w) Day Days m m m m - 5y y Pubertal Adults Progesterone 1-16y <10-15 Adults < y < y < y < y < y < y < y < Adult Cycle Days 1-6 < < < < Post Menopausal <10 Note: Luteal progesterone peaked from 350 to 3750 ng/dl on days ranging from 17 to Alpha-Hydroxyprogesterone Premature (26-28w) Day Document generated October 20, 2016 at 11:43am CDT Page 4 of 6

5 Premature (31-35w) Day Full-Term Day 3 <78 : Levels increase after the first week to peak values ranging from between 30 and 60 days. Values then decline to a prepubertal value of <91 before one year. Prepubertal <91 Adult m Prepubertal <91 Adult Follicular Luteal Tanner Stages (years) 1 <9.2 < Tanner Stages (years) 1 <9.8 < < Testosterone, Serum (Total) Premature (26-28w) Day Premature (31-35w) Day Newborns m: Levels decrease rapidly the first week to 20-50, then increase to between days. Levels then decline to prepubertal range levels of < by seven months. Premature (26-28w) Day Premature (31-35w) Day Newborns m: Levels decrease during the first month to less than 10 and remain there until puberty. Prepubertal and < Adult >18 years Document generated October 20, 2016 at 11:43am CDT Page 5 of 6

6 Adult Premenopausal: Postmenopausal: 7-40 Tanner Stage (years) Male 1 <9.8 < Tanner Stage (years) Female 1 <9.2 < Document generated October 20, 2016 at 11:43am CDT Page 6 of 6