Adrenocorticotropic Hormone
| PATIENT INFO |
| Patient Name: |
| Medical Record #: |
| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
| Address: |
| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Adrenocorticotropic Hormone | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
ACTH
Test Workstation :
MAYO
Specimen Type:
EDTA, Plasma
Tube Type:
Purple top (EDTA) tube
Collection Volume:
2.5 mL
Minimum Volume:
2.0 mL
Storage:
Strict Frozen
Availability:
Sent to reference lab
Methodology:
Electrochemiluminescence Immunoassay
Special Instructions:
Collect on Ice.
Spin down in a refrigerated centrifuge and immediately separate plasma from cells. Morning (6 a.m. 10:30 a.m.) specimen is desirable.
For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly)
Patient Preparation: 12 hours before this blood test do not take multivitamins or dietary supplements containing biotin or vitamin B7, which are commonly found in hair, skin, and nail supplements and multivitamins.
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference Range: 7.2-63 pg/mL (a.m. draws)
No established reference range for p.m. draws.
Pediatric reference values are the same as adults, as confirmed by peer reviewed literature.
CPT Code:
82024
Synonyms:
Adrenocorticotropic Hormone
