IGF-I (Insulin-Like Growth Factor 1), LC/MS : 16293

Test Code
IGFI or 16293


Alias/See Also
Somatomedin-C; Insulin-Like Growth Factor; IGF-1


CPT Codes
84305

Instructions
Serum separator tube or plain red top tube.


Transport Container
Centrifuge the separator tube and transport. If plain red top tube allow to clot 10-15 minutes, then centrifuge and alquot serum into a standard transport tube, 0.5 mL (Min: 0.3 mL).


Transport Temperature
Refrigerated.


Specimen Stability
After separation from cells: Ambient: 48 hours; Refrigerated: 7 days; Frozen: 60 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Moderate hemolysis.


Methodology
Liquid Chromatography/Mass Spectrometry (LC/MS)

Setup Schedule
Sunday - Saturday


Report Available
1-4 days (From receipt at performing laboratory)


Limitations
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.


Reference Range
Pediatric Ranges IGF-1, LC/MS
                           Male (ng/mL)    Female (ng/mL)
less than 1 Years:     14-142              17-185
   1-1.9 Years:          12-134              15-175
   2-2.9 Years:          12-135              16-179
   3-3.9 Years:          30-155              38-214
   4-4.9 Years:          28-181              34-238
   5-5.9 Years:          31-214              37-272
   6-6.9 Years:          38-253              45-316
   7-7.9 Years:          48-298              58-367
    8-8.9 Years:         62-347              76-424
    9-9.9 Years:         80-398              99-483
10-10.9 Years:         100-449           125-541
11-11.9 Years:         123-497           152-593
12-12.9 Years:         146-541           178-636
13-13.9 Years:         168-576           200-664
14-14.9 Years:         187-599           214-673
15-15.9 Years:         201-609           218-659
16-16.9 Years:         209-602           208-619
17-17.9 Years:         207-576           185-551

Adult Ranges IGF-1, LC/MS:
18-19.9 Years:    108-548 ng/mL
20-24.9 Years:    83-456   ng/mL
25-29.9 Years:    63-373   ng/mL
30-39.9 Years:    53-331   ng/mL
40-49.9 Years:    52-328   ng/mL
50-59.9 Years:    50-317   ng/mL
60-69.9 Years:    41-279   ng/mL
70-79.9 Years:    34-245   ng/mL
greater than 80 Years:    34-246   ng/mL

     Z-Score (Male):   -2.0 - +2.0 SD
Z-Score (Female):    -2.0 - +2.0 SD


Clinical Significance
Insulin-like growth factor I (IGF-I, or somatomedin C), a protein involved in stimulating somatic growth, is regulated principally by growth hormone (GH) and nutritional intake. IGF-I is transported in serum by several proteins; this helps maintain relatively high IGF-I plasma levels and minimizes fluctuations in serum IGF-I concentrations.
Measuring IGF-I is useful in several growth-related disorders. Dwarfism caused by deficiency of growth hormone (hypopituitarism) results in decreased serum levels of IGF-I, while acromegaly (growth hormone excess) results in elevated levels of IGF-I. IGF-I measurements are also helpful in assessing nutritional status; levels are reduced in undernutrition and restored with a proper diet.


Performing Laboratory
Quest Diagnostics



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.