Serotonin, Whole Blood
Ordering Recommendation
Use to diagnose and monitor carcinoid tumors. Preferred serotonin test since most of the blood serotonin resides in the platelets.
New York DOH Approval Status
Specimen Required
Abstain from medications for 72 hours prior to collection.
Lavender (EDTA) or pink (K2EDTA).
Place on ice. Transfer 3 mL whole blood to an ARUP Serotonin Transport Tube containing ascorbic acid (ARUP supply #16568). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 mL) Mix well. Specimen must be preserved and frozen within 2 hours of collection.
CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Non-frozen specimens. Specimens other than whole blood.
Serotonin, Serum (ARUP test code 0080397) is recommended for patients that are difficult to draw.
After transfer to Serotonin Transport Tube: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month
Methodology
Quantitative High Performance Liquid Chromatography (HPLC)
Performed
Mon, Wed, Thu, Fri, Sat
Reported
1-5 days
Reference Interval
50-200 ng/mL
Interpretive Data
This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the US Food and Drug Administration. This test was performed in a CLIA certified laboratory and is intended for clinical purposes.
Laboratory Developed Test (LDT)
Note
Medications that may affect serotonin concentrations include lithium, MAO inhibitors, methyldopa, morphine, and reserpine. In general, foods that contain serotonin do not interfere significantly. Slight increases may be seen in acute intestinal obstruction, acute MI, cystic fibrosis, dumping syndromes, and nontropical sprue. Metastasizing abdominal carcinoid tumors often show serotonin concentrations greater than 400 ng/mL.
Hotline History
Hotline History
CPT Codes
84260
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0080395 | Serotonin, Whole Blood | 2939-7 |
Aliases
- 5-HT
- 5-Hydroxy Tryptamine
- 5-Hydroxytryptamine