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Test Code ACTHST Adrenocorticotropic Hormone (ACTH) Stimulation (Cosyntropin®), Serum

Important Note

This test is performed in Endoscopy at ACH or TCH.

This test is scheduled Monday through Friday only.

Performing Laboratory

MaineGeneral Medical Center

Useful For

Screening test for patients presumed to have adrenocortical insufficiency.

Reference Values

Baseline:  5-25 µg/dL

30 minutes post:  2-4 fold increase of baseline value

60 minutes post:  2-4 fold increase of baseline value

Day(s) Test Performed

Monday through Friday by appointment only

Methodology

Chemiluminescent technology

Specimen Requirements

This test must be scheduled with Central Scheduling prior to testing. Call 621-6422 to schedule testing.

 

Draw blood in a serum gel tube(s). (Hemolyzed specimen is not acceptable.) Spin down and send 1 mL of serum refrigerated for each of the following:

1. Baseline cortisol (drawn prior to injection)

2. 30 minutes post-injection cortisol level

3. 60 minutes post-injection cortisol level

Note: 

1. Patient must be resting, lying down in a darkened room, for duration of stimulation test.

2. For inpatients, nursing will obtain and administer Cosyntropin® directly from hospital pharmacy.

3. Label specimen with patient’s name (first and last), date of birth, date and time of draw, phlebotomist’s initials, and as baseline, 30 minutes, and 60 minutes.

 

Specimen stability:  8 hours at room temperature

                                    2 days refrigerated

                                    Indefinitely when frozen

 

Minimum volume:  2mL

Test Classification and CPT Coding

80400 - ACTH stimulation panel

J0835 - Cosyntropin®