Cortisol, Serum
Ordering Recommendation
Differential diagnosis of Cushing syndrome. Screen and diagnose primary and secondary adrenal insufficiency.
New York DOH Approval Status
Specimen Required
Serum separator tube (SST) or Plain Red, Green (lithium heparin), Lavender (K2 EDTA and K3 EDTA), or Pink (K2 EDTA).
Allow specimen to clot completely at room temperature. Separate from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube.(Min: 0.6 mL)
Refrigerated.
Saliva (refer to Cortisol, Saliva, ARUP test code 0081117).
After separation from cells: Ambient: 24 hours; Refrigerated: 4 days; Frozen: 12 months (avoid repeated freeze/thaw cycles)
Methodology
Quantitative Electrochemiluminescent Immunoassay
Performed
Sun-Sat
Reported
Within 24 hours
Reference Interval
Interpretive Data
6 a.m. - 10 a.m. reference interval: 6.0-18.4 µg/dL
4 p.m. - 8 p.m. reference interval: 2.7-10.5 µg/dL
8 hrs post 1 mg dexamethasone given at midnight: 0.0 - 5.0 µg/dL
Normal peak serum cortisol is greater than 18.0 µg/dL at 30 or 60 minutes after 250 micrograms of cosyntropin I.V.
FDA
Note
To convert to nmol/L, multiply µg/dL by 27.6.
Hotline History
CPT Codes
82533
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0070030 | Cortisol, Serum | 2143-6 |
Aliases
- Compound F
- Corticosteroids
- Cortisol
- Cortisol, Serum
- Cortrosyn Stimulation Test
- Dexamethasone Suppression
- Diurnal Corticoids