ACTH Stimulation Test (Cortisol X3)

Message
Test performed at York Hospital Laboratory.


Test Code
ACTHST


Alias/See Also
Cosyntropin (ACTH Stimulation)


CPT Codes
82553x3

Includes
Cortisol, 0 minutes
Cortisol, 30 minutes
Cortisol, 60 minutes


Preferred Specimen
0.2 mL serum collected in a serum separator tube (SST) (each specimen)


Other Acceptable Specimens
0.2 mL serum collected in a no additive (red-top) tube, transferred to a plastic screw-cap vial
0.2 mL plasma collected in a lithium heparin (green-top) gel separator tube


Instructions
Draw baseline specimen (0 min) before ACTH administration. Administer 250 mcg Cortrosyn by rapid IV push. Draw specimens 30 and 60 minutes after ACTH administration. Clearly mark time drawn on all tubes.


Transport Temperature
Refrigerated


Specimen Stability
Room temperature: 4 hours
Refrigerated: 5 days
Frozen: 4 weeks


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolyzed specimen


Methodology
Chemiluminescence

Setup Schedule
Monday, Thursday


Report Available
4 Days


Clinical Significance
Test is for adrenal function / Addison's disease.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.