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Epic Code LAB3534 ACTH Level

Important Note

Only use pre-cooled sample tubes. Morning collection (6 am - 10 am) is optimal.

Method is Roche cobas Electrochemiluminescense Immunoassay.
Patient results determined by assays using different manufacturers for methods may not be comparable.

Test Name Alias

Adrenocorticotropic Hormone | 6662

Interface Order Alias

11788

Clinical Information

Useful for determining the cause of hypercortisolism and hypocortisolism

Ordering Instructions

Note: Routine ACTH does not need to be scheduled.

 

Grand Rapids: For scheduling ACTH Stimulation testing, please call the Spectrum Health Infusion Clinic at 616-486-6099 in Grand Rapids.

United Hospital: For scheduling ACTH Stimulation testing, contact the Cancer Center at 616-225-9330.

Collection Instructions

Specimen Collection: Blood

 

Container(s): Pre-Cooled, Plastic Lavender EDTA

Preferred Volume to Collect: 3.0 mL

Minimum Volume to Collect: 1.0 mL

Neonate Volume to Collect: 1.0 mL

Capillary collect ok? No

 

Collection Instructions:

  • PCT: Only use pre-chilled tubes
  • Morning collection is optimal (6 am - 10 am)
  • ON ICE: After collection immediately put specimen on ice
  • Specimen should be processed immediately.

 

Processing Instructions (Laboratory, Outpatient or Off-site Collection):

Processed Specimen: Plasma (0.5 mL)

Centrifuge/Spin: Yes*

Aliquot: Yes

Processing Instructions:

  • +(1)S/PO/F: Within one hour of collection, spin at 3500 for 5 minutes.*
  • *Use refrigerated centrifuge to separate the plasma.
  • Aliquot and freeze immediately.

Transport Temperature: Frozen

Specimen Stability

Refrigerated (separated plasma): 3 hours

Frozen: 4 weeks

Laboratory Retention: 72 hours

Test Frequency

Available Monday, Wednesday & Friday, TAT 24 hours

Reference Range

10 - 60 pg/mL (a.m. draws) No established reference values for p.m. draws. 

Critical Values Table (for ages 0 - 18 years)

Performing Department

CHEMISTRY

Performing Department Laboratory Location

Spectrum Health Regional Laboratory, Grand Rapids, MI

Methodology

Method is Roche cobas Electrochemiluminescense Immunoassay.
Patient results determined by assays using different manufacturers for methods may not be comparable.

CPT

82024

CDM Code

80101271

Epic Test ID

1230100301

LOINC

Not available

Beaker LOINC

ADRENOCORTICOTROPIC HORMONE: 2141-0
LIPEMIA INDEX, SERUM: N/A

Reviewed Date

3/23/2022

Beaker Names

Beaker Procedure Name: ACTH LEVEL
Beaker Display Name: Adrenocorticotropic Hormone (ACTH) Level
BEAKER TEST NAME: ACTH
BEAKER TEST REPORT NAME: ACTH

Beaker Synonyms

No synonym on file

Beaker Collection and Specimen Handling

BEAKER COLLECTION: PCT/ON ICE+(1)S/PO/F

Beaker Location, Container and Temperature

BW CHEMISTRY: 3 MLLAV TUBE F(Preferred)