Progesterone, Immunoassay

Test Code
745


CPT Codes
84144

Preferred Specimen
1 mL serum


Minimum Volume
0.5 mL


Instructions
DHEA supplementation causes a false elevation of values in this standard immunoassay method for progesterone. Physicians using progesterone levels as a criterion for triggering ovulation in an IVF cycle in patients supplemented with DHEA should assess progesterone levels using a LC/MSMS Progesterone assay, such as order code 17183 performed at Quest Diagnostics San Juan Capistrano.

NOTE: Do not order progesterone testing as an add on to a barrier gel specimen older than 72 hours. Progesterone binds to barrier gel causing decreased values.


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 72 hours
Refrigerated: 7 days
Frozen: 28 days


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


Methodology
Immunoassay (IA)

Setup Schedule
Set up: Mon-Sat; Report available: Next day


Limitations
Heterophil antibodies may produce falsely-elevated results.


Clinical Significance
Levels increase sharply during the luteal phase of the menstrual cycle. The level increases from 9 to 32 weeks of pregnancy.




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.