Cortisol by LC-MS/MS, Salivary
Ordering Recommendation
Use to rule out Cushing syndrome or screen for thymic and bronchial carcinoid tumors.
New York DOH Approval Status
Specimen Required
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.
Saliva. Swab must be completely saturated to ensure sufficient volume for testing.
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.
Refrigerated or frozen
Specimens not collected using the Salivette collection device. Sodium azide preservative. Specimens visibly contaminated with blood, cellular debris, food particles, or mucus.
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
Laboratory Developed Test (LDT)
Note
Hotline History
Hotline History
CPT Codes
82533
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0081118 | Cortisol, Saliva | 2142-8 |