Estradiol

Test Code
4021


CPT Codes
82670

Preferred Specimen
1 mL serum


Minimum Volume
0.5 mL


Instructions
Note: For any patients for whom low estradiol levels are anticipated (e.g. males, pre-pubertal children and hypogonadal/post-menopausal females), the Quest Diagnostics Estradiol, Ultrasensitive, LC/MS/MS assay is recommended (test code 30289).

Note: Do not add on estradiol testing to a barrier gel specimen older than 72 hours. Estradiol binds to barrier gel causing decreased values.


Transport Container
Plastic screw-cap vial


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 6 months
*Do not add estradiol testing to a barrier gel specimen older than 72 hours


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Serum stored on barrier gel for more than 72 hours


Methodology
Immunoassay (IA)

Setup Schedule
AM, Nights


Reference Range
Female  
  Follicular Phase 19-144 pg/mL
  Mid-Cycle 64-357 pg/mL
  Luteal Phase 56-214 pg/mL
  Postmenopausal ≤31 pg/mL
Male ≤39 pg/mL


Clinical Significance
Measuring the circulating levels of estradiol is important for assessing the ovarian function and monitoring follicular development for assisted reproduction protocols. Estradiol plays an essential role throughout the human menstrual cycle. Elevated estradiol levels in females may also result from primary or secondary ovarian hyperfunction. Very high estradiol levels are found during the induction of ovulation for assisted reproduction therapy or in pregnancy. Decreased estradiol levels in females may result from either lack of ovarian synthesis (primary ovarian hypofunction and menopause) or a lesion in the hypothalamus-pituitary axis (secondary ovarian hypofunction). Elevated estradiol levels in males may be due to increased aromatization of androgens, resulting in gynecomastia.




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.