Last Modified:
9/26/2023 10:23:10 AM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions:
Early Morning Specimen Preferred
Minimum Volume:
0.25 mL
Transport & Storage: Temperature/Stability:
72 hours Ambient
28 days Refrigerated (Transport)
2 years Frozen
Reference Range:
Premature infants (31-35 weeks)* : 480 ng/dL or less
Term infants (36-42 weeks)* : 290 ng/dL or less
Pediatric
1-12 months: 6-78 ng/dL
1-4 years: 5-51 ng/dL
5-9 years: 6-115 ng/dL
10-13 years: 12-221 ng/dL
14-17 years: 22-225 ng/dL
Tanner Stages
II-III Males: 17-82 ng/dL
II-III Females: 43-180 ng/dL
IV-V Males: 57-150 ng/dL
IV-V Females: 7-68 ng/dL
Adult Male
18-30 years: 50-220 ng/dL
31-50 years: 40-190 ng/dL
51-60 years: 50-220 ng/dL
Adult Female
Follicular: 35-250 ng/dL
Mid-cycle: 60-285 ng/dL
Luteal: 30-235 ng/dL
Postmenopausal: 20-75 ng/dL
Critical Ranges:
Test Comments:
Methodology:
Liquid Chromatography / Tandem Mass Spectometry
Clinical Significance:
Documentation:
*Pediatric data from J Clin Endocrinol Metab. 1991;
73:674-686 and J Clin Endocrinol Metab. 1989; 69;113-1136
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
4 to 6 days
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed:
Quest - Chantilly
PHL Test Code:
ADION
EPIC Test Code:
LAB518
Send Out Test Code:
17182
Included Tests:
CPT Coding:
82157
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