Cosyntropin (ACTH) Stimulation Test Low Dose

Test Code
CSTLD


Alias/See Also
Cortisol, Stimulation Test


Preferred Specimen
GOLD (SST)


Other Acceptable Specimens
Light GREEN (PST)


Instructions
Pre Cortisol, 30 Minute post medication, 60 minute post medication


Specimen Stability
"Allow serum samples to clot completely before centrifugation.
Store samples tightly stoppered at room temperature (15 to 30°C) for no longer than 8 hours.
If the assay will not be completed within 8 hours, refrigerate the sample at 2 to 8°C.
If the assay will not be completed within 48 hours, or for shipment of samples, aliquot serum to plastic tube and freeze at -20°C or colder."


Methodology
Beckman DXI

Setup Schedule
24x7


Clinical Significance
"The Cortrosyn Stimulation Test is intended for use in the screening of patients for primary or secondary adrenocortical insufficiency. The administration of Cortrosyn in a normal individual will cause a rise in the plasma cortisol level. If the patient does not show a rise from the baseline cortisol, further studies may be necessary.
There are two test options: (1) Regular Dose of 250 mcg (0.25mg) and (2) Low Dose of 1 mcg. It is important the requisition from the physician specify the dosing when placing the order. "


Performing Laboratory
CRMC Laboratory (for Cortisol testing)
Stimuilation dosing and specimen collection can occur at all facilities.

Additional Information
Scheduled Outpatient Tests Requisition


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.