Prolactin

Test Code
746


CPT Codes
84146

Preferred Specimen
1 mL serum


Patient Preparation

Overnight fasting is preferred



Minimum Volume
0.5 mL


Transport Container
Plastic screw-cap vial


Transport Temperature
Room temperature


Specimen Stability

Room temperature: 5 days
Refrigerated: 7 days
Frozen: 28 days



Methodology
Immunoassay (IA)

Setup Schedule
Set up: Daily; Report available: Next day


Reference Range
Adult Males 2.0-18.0 ng/mL
Adult Females  
  Non-Pregnant 3.0-30.0 ng/mL
  Pregnant 10.0-209.0 ng/mL
  Postmenopausal 2.0-20.0 ng/mL

Stages of Puberty (Tanner Stages)
  Female Observed Male Observed
Stage I 3.6.12.0 ng/mL ≤10.0 ng/mL
Stage II-III 2.6-18.0 ng/mL ≤6.1 ng/mL
Stage IV-V 3.2-20.0 ng/mL 2.8-11.0 ng/mL


Clinical Significance

During pregnancy and postpartum lactation, serum prolactin can increase 10- to 20-fold. Exercise, stress, and sleep also cause transient increases in prolactin levels. Consistently elevated serum prolactin levels (>30 ng/mL), in the absence of pregnancy and postpartum lactation, are indicative of hyperprolactinemia. Hypersecretion of prolactin can be caused by pituitary adenomas, hypothalamic disease, breast or chest wall stimulation, renal failure or hypothyroidism. A number of drugs, including many antidepressants, are also common causes of abnormally elevated prolactin levels. Hyperprolactinemia often results in galactorrhea, amenorrhea, and infertility in females, and in impotence and hypogonadism in males. Renal failure, hypothyroidism, and prolactin-secreting pituitary adenomas are also common causes of abnormally elevated prolactin levels.



Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153




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.