Anti-Mullerian Hormone (AMH), Female

Test Code
37227


CPT Codes
82166

Preferred Specimen
0.5 mL serum


Minimum Volume
0.3 mL


Other Acceptable Specimens
Plasma collected in a lithium heparin (green-top) tube


Instructions
Separate serum/plasma from the cells within 2 hours of collection, ship in a plastic leak-proof container refrigerated or frozen.

Administration of STRENSIQ may interfere in certain assays and may falsely elevate values. For patients receiving STRENSIQ, consideration should be given to using alternate methods.


Transport Container
Plastic transport tube


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 24 hours
Refrigerated: 6 days
Frozen: 28 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis • Lipemia • Received room temperature


Methodology
Immunoassay (IA)

Setup Schedule
Set up: Mon-Sat; Report available: 2-3 days


Reference Range
0-17 years Not established
18-25 years 1.02 -14.63 ng/mL
26-30 years 0.69-13.39 ng/mL
31-35 years 0.36-10.07 ng/mL
36-40 years 0.18-5.68 ng/mL
41-45 years 0.01-2.99 ng/mL
>45 years Not established


Clinical Significance
AMH-MIS may be used in the investigation of ovarian reserve since AMH concentrations in adult women reflect the number of small antral and preantral follicles entering the growth phase of their life cycle. These follicles are proportional to the number of primordial follicles that still remain in the ovary, or the ovarian reserve.
AMH decreases throughout a woman's reproductive life, which reflects the continuous decline of the oocyte/follicle pool with age and, accordingly, ovarian aging.


Performing Laboratory
Quest Diagnostics Nichols Inst San Juan Capistrano
33608 Ortega Highway
San Juan Capistrano, CA 92690-6130



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.