INSULIN, SERUM OR PLASMA

Test Code
LAB304529


CPT Codes
83525

Preferred Specimen
7 mL gold or light green top tube
Pediatric Volume: Two gold top microtainers 


Minimum Volume
1 mL Blood


Other Acceptable Specimens
Red Top Tube


Instructions
Samples are usually collected after FASTING
Sample must be centrifuged within 2 hours of collection. Serum/plasma must be removed from the red cells and put into aliquot tubes following centrifugation. Aliquot 0.5 mL of serum.


Transport Temperature
Refrigerated


Specimen Stability
Refrigerated: 2-8 °C 10 days  
Frozen: -20°C 1 month 


Methodology
Electrochemiluminescence Immunometric Assay ECLIA

Setup Schedule
Monday-Friday


Reference Range
3.2-32.1 ulU/mL


Clinical Significance
Test is used to diagnose insulinoma in conjunction with proinsulin and C-peptide measurements. During prolonged fasting, a reduced blood
glucose in conjunction with elevated insulin, proinsulin, and C-peptide suggest insulinoma.
Test is also used to manage diabetes mellitus (DM). Normally, insulin levels parallel blood glucose levels. Insulin levels generally decline in
type 1 DM. In early type 2 DM, insulin levels are either normal or elevated. In later stage type 2 DM, insulin levels decline.
Patients on insulin therapy may develop anti-insulin antibodies that may interfere with this assay.


Performing Laboratory
West Virginia University Hospital, Inc.
Camden Clark Medical Center




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.