Deoxycorticosterone [6559X]

Test Code
70612


CPT Codes
82633

Preferred Specimen
3 mL serum


Minimum Volume
1.1 mL


Other Acceptable Specimens
Amniotic fluid • EDTA (lavender-top) • Sodium heparin (green-top) • PPT-potassium EDTA (white-top)


Transport Container
Red-top tube (no gel)


Transport Temperature
Refrigerated


Specimen Stability
Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 2 years


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Received room temperature


Methodology
Extraction • Radioimmunoassay • Chromatography

Setup Schedule
Tuesday Morning; Report available: 3 Days


Reference Range
Adult Male 3.5-11.5 ng/dL
Adult Female    
  Follicular 1.5-8.5 ng/dL
  Luteal 3.5-13.0 ng/dL
Pregnancy    
  First Trimester 5-25 ng/dL
  Second Trimester 10-75 ng/dL
  Third Trimester 30-110 ng/dL
Post-ACTH Stimulation 60 Minutes  
Males and Premenopausal
Females (Follicular Phase) 
14-33 ng/dL
Pediatric    
ACTH Stimulation Baseline (ng/mL) 60 Minutes (ng/mL)
<1 Year 7-57 20-160
1-5 Years 4-49 26-140
6-12 Years Male 9-34 33-140
6-12 Years Female 2-13 19-61
Tanner Stages II-III    
  Male 4-30 12-74
  Female 2-12 13-63
Tanner Stages IV-V    
  Male 5-14 19-46
  Female 5-10 23-40


Clinical Significance
DOC is a precursor of corticosterone and aldosterone.
The elevations of DOC observed in patients with
11-hydroxylase deficiency (the second leading cause of
congenital adrenal hyperplasia) may reflect the
hypertension observed. Patients with DOC-secreting
tumors also exhibit hypertension.




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.