Adrenocorticotropic Hormone

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. Adrenocorticotropic Hormone
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

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

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Adrenocorticotropic Hormone

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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