Steroid Panel, Comprehensive

Test Code
90392

CPT Codes
82157, 82528, 82533, 82542, 82626, 82633, 82634, 83498, 84140, 84143, 84144, 84403

Includes
11-Deoxycortisol
17-Hydroxyprogesterone
17-Hydroxypregnenolone
18-Hydroxycorticosterone and Cortisone
Androstenedione
Corticosterone
Cortisol
DHEA, Unconjugated
Deoxycorticosterone
Pregnenolone
Progesterone
Testosterone, Total, LC/MS/MS

Preferred Specimen
0.5 mL serum collected in a red-top tube (no gel)

Minimum Volume
0.25 mL

Instructions
Collect blood in a Vacutainer with no additives. Allow blood to clot (30 minutes) at room temperature, 18°C to 25°C. Centrifuge and separate the serum from the cells. Freeze as soon as possible.

Transport Container
Plastic screw-cap vial

Transport Temperature
Frozen

Specimen Stability
Room temperature: Unacceptable
Refrigerated: 72 hours
Frozen: 28 days

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
SST tubes • Gross hemolysis • Moderate hemolysis • Grossly lipemic • Grossly icteric • Plasma

Methodology
Chromatography/Mass Spectrometry

Setup Schedule
Set up: Sun, Tues; Report available: 5-10 days

Reference Range
See individual tests

Clinical Significance
This panel identifies all major adrenal steroid hormones and facilitates the diagnosis of the four enzymatic defects associated with congenital adrenal hyperplasia (CAH). All steroids are determined in a single assay by LCMSMS using as little as 0.1 mL serum.

Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042




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.