FSH (Follicle Stimulating Hormone) and LH (Luteinizing Hormone), Serum

Test Code
7137


CPT Codes
83001, 83002

Preferred Specimen
2 mL serum


Minimum Volume
1 mL for each test


Transport Container
Plastic screw-cap vial


Transport Temperature
Room temperature


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


Methodology
Immunoassay (IA)

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


Reference Range
FSH
Male1.4-12.8mIU/mL
Female
  Follicular Phase2.5-10.2mIU/mL
  Mid-Cycle Peak3.1-17.7mIU/mL
  Luteal Phase1.5- 9.1mIU/mL
  Postmenopausal  23.0-116.3 mIU/mL
Children (<18 years old): FSH reference ranges established on post-pubertal patient population. Reference range not established for pre-pubertal patients using this assay. For pre-pubertal patients, the Quest Diagnostics FSH, Pediatrics assay is recommended (test code 36087).

LH
Male
18-59 Years1.5-9.3mIU/mL
≥60 Years1.6-15.2mIU/mL
Female
  Follicular Phase1.9-12.5mIU/mL
  Mid-Cycle Peak8.7-76.3mIU/mL
  Luteal Phase0.5-16.9mIU/mL
  Postmenopausal10.0-54.7mIU/mL
Children (<18 years old): LH reference ranges established on post-pubertal patient population. Reference range not established for pre-pubertal patients using this assay. For pre-pubertal patients, the Quest Diagnostics LH, Pediatrics assay is recommended (test code 36086).


Clinical Significance
FSH and LH are secreted by the anterior pituitary in response to gonadotropin-releasing hormone (GNRH) secreted by the hypothalamus. In both males and females, FSH and LH secretion is regulated by a balance of positive and negative feedback mechanisms involving the hypothalamic-pituitary axis, the reproductive organs, and the pituitary and sex steroid hormones. FSH and LH play a critical role in maintaining the normal function of the male and female reproductive systems. Abnormal FSH levels with corresponding increased or decreased levels of LH, estrogens, progesterone, and testosterone are associated with a number of pathological conditions. Increased FSH levels are associated with menopause and primary ovarian hypofunction in females and primary hypogonadism in males. Decreased levels of FSH are associated with primary ovarian hyper-function in females and primary hypergonadism in males. Normal or decreased levels of FSH are associated with polycystic ovary disease in females. In males, LH is also called interstitial cell-stimulating hormone (ICSH). Abnormal LH levels with corresponding increased or decreased levels of FSH, estrogens, progesterone, and testosterone are associated with a number of pathological conditions. Increased LH levels are associated with menopause, primary ovarian hypofunction, and polycystic ovary disease in females and primary hypo-gonadism in males. Decreased LH levels are associated with primary ovarian hyperfunction in females and primary hyper-gonadism in males.


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.