Resources

Cortisol PM

Message
Performed in Chemistry
BCGMC sends to BDMC
BGFMC sends to BIMC
OCH sends to NCMC
Page and BPMC send to SQL
WMC, TCH and PCMH send to WyMCC


Test Code
CORTPM


Alias/See Also
Performed at Sonora Quest Laboratories for Page and BPMC, Test code 8138


CPT Codes
82533

Preferred Specimen
Green LiHep, Plasma
WyMCC, TCH, PCMH, WMC, Page and BPMC - SST


Other Acceptable Specimens
Gold/SST, Red


Instructions
For testing performed at SQL, see link below for specimen details, methodology, setup schedule and reference ranges.

For BUMCT, testing should be drawn between 1600 and 2000.


FDA Status
FDA Approved

Setup Schedule
Daily, Sunday through Saturday


Report Available
Less than 4 hours


Reference Range
Unit of Measure = µg/dL
Male/Female
Age: 0 - 150y
2.5 - 11.9


Clinical Significance
Cortisol (hydrocortisone) is quantitatively the major glucocorticoid product of the adrenal cortex. The main reason to measure
cortisol is to diagnose human diseases which are caused by the overproduction of cortisol in Cushing’s syndrome (CS), deficiency of
adrenal steroid excretion in Addison’s disease, and for therapy monitoring (e.g. therapies designed to reduce the excessive
production of cortisol in Cushing's syndrome and hormone replacement therapy in Addison's disease). Cortisol plays an important
role in the regulation of many essential physiological processes, including energy metabolism, maintenance of electrolyte balance
and blood pressure, immunomodulation and stress responses, cell proliferation as well as cognitive functions. The major fraction of
cortisol circulates bound to plasma proteins as corticosteroid binding globulin and albumin.
The biologically active free fraction
comprises only 2-5 % of the total hormone concentration.

Elevated serum levels can be found in stress responses, psychiatric diseases, obesity, diabetes, alcoholism and pregnancy, which
may cause diagnostic problems in patients with Cushing's syndrome. Low levels of cortisol are seen in patients with rare adrenal
enzyme defects and after long-lasting stress. For diagnostic purposes the following analyses are used: Total and free cortisol in
serum.


Additional Information
Cortisol PM Serum-for SQL
Cortisol, Total, PM - SQL


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.