Ordering Recommendation

Use to rule out Cushing syndrome or screen for thymic and bronchial carcinoid tumors.

New York DOH Approval Status

This test is New York state approved.

Specimen Required

Patient Preparation

Collect 1 mL or more of saliva (fully saturated swab).
Do not eat for 60 minutes prior to collecting specimen.
Do not consume alcohol 12 hours prior to collecting specimen.
Do not brush teeth or use toothpaste immediately before collecting specimen, as gums may bleed and contaminate specimen, causing a falsely elevated result.
Do not use mouthwash products prior to sample collection.
Avoid using lipstick, ChapStick, and other lip items prior to sample collection.
Avoid use of exogenous sources of cortisol (e.g., topical or oral hydrocortisone) or similar products during collection to reduce contamination.
Rinse mouth thoroughly with water 10 minutes before collecting specimen.
Recommended collection time is generally between 11:00 p.m. and 1 a.m. Your healthcare provider may also require different or additional collection times. Be sure to clearly label each tube collected with correct date and time.
Specimens visibly contaminated with blood, cellular debris, food particles, or mucus must be recollected.

Collect

Saliva. Swab must be completely saturated to ensure sufficient volume for testing.

Specimen Preparation

Transfer saturated swab to plain (noncitric acid) cotton Salivette collection device (ARUP Supply #52056). Record the time of collection on the test request form and on Salivette transport container.

Storage/Transport Temperature

Refrigerated or frozen

Unacceptable Conditions

Specimens not collected using the Salivette collection device. Sodium azide preservative. Specimens visibly contaminated with blood, cellular debris, food particles, or mucus.

Remarks
Stability

Ambient: 1 week
Refrigerated: 3 weeks
Frozen: 6 months

Methodology

Quantitative: Mass Spectrometry

Performed

Sun-Sat

Reported

1-4 days

Reference Interval

By report

Interpretive Data

Reference Intervals:

7 a.m. to 9 a.m.: 0.1-0.75 ug/dL

3 p.m. to 5 p.m.: <0.401 ug/dL

11 p.m. to midnight: <0.1 ug/dL

Compliance Category

Laboratory Developed Test (LDT)

Note

Hotline History

N/A

CPT Codes

82533

Components

Component Test Code* Component Chart Name LOINC
0081118 Cortisol, Saliva 2142-8
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.

Aliases

Cortisol by LC-MS/MS, Salivary