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HelpTest Code ACC Adrenal Mass Panel, 24 Hour, Urine
Additional Codes
| Hospital Order Code |
| Lab2608 MISMGO |
Shipping Instructions
Ship specimens frozen.
Necessary Information
The following information is required. Testing cannot proceed without this information (NA or Not Applicable are not acceptable responses).
-Age at diagnosis (Years, not offered for pediatric patients)
-Gender (Male, Female)
-Mode of discovery (incidental, cancer staging, other)
-Tumor diameter (mm)
-Unenhanced computerized tomography (CT) (Hounsfield units)
-Hormonal excess (Yes = Present, No=Absent)
-Collection duration in hours and 24-hour volume in milliliters
If information is not provided within 5 days of specimen receipt at MCL, testing may be delayed or canceled.
If not ordering electronically, Adrenal Mass Panel Patient Information is required.
Specimen Required
Supplies: Sarstedt Aliquot Tube, 5 mL (T914)
Container/Tube: Plastic urine tube
Specimen Volume: 4 mL
Collection Instructions:
1. Collect urine for a full 24 hours (required) and record the total volume.
2. Do not add preservatives. Specimens containing preservatives will be canceled.
3. Entire 24 hour collection must be mixed well prior to aliquoting into a 5 mL plastic tube.
Additional Information: See Urine Preservatives-Collection and Transportation for 24-Hour Urine Specimens for multiple collections.
Forms
Adrenal Mass Panel Patient Information is required if not ordering electronically.
Useful For
Aiding in assessing malignancy in adrenal masses
May aid in improving diagnostic and prognostic prediction and dissect disease mechanisms for the following applications:
-Diagnostic assessment and follow up of adrenal cortical carcinoma
-Differential diagnostic assessment of adrenal tumors
-Additional assessment related to Cushing syndrome, mild autonomous cortisol secretion, primary aldosteronism, inborn errors of steroidogenesis, polycystic ovary syndrome
This test is not useful for establishing eligibility for a specific treatment as results must be interpreted in conjunction with the clinical status of the patient.
Special Instructions
Method Name
Liquid Chromatography Mass Spectrometry, High-Resolution Accurate Mass (LC-MS HRAM)
Reporting Name
Adrenal Mass Panel, 24 Hr, USpecimen Type
UrineSpecimen Minimum Volume
2 mL
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Urine | Frozen (preferred) | 90 days |
| Refrigerated | 14 days |
Reject Due To
| Gross hemolysis | OK |
| Gross icterus | OK |
Day(s) Performed
Tuesday
Report Available
7 to 24 daysPerforming Laboratory
Mayo Clinic Laboratories in Rochester
Test Classification
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.CPT Code Information
0015M
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| ACC | Adrenal Mass Panel, 24 Hr, U | 95556-7 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| 607276 | ACC - Clinical Risk | 95787-8 |
| 607277 | Other Malignancy - Clinical Risk | 95788-6 |
| 607278 | Benign Mass - Clinical Risk | 95789-4 |
| 607279 | ACC - Integrated Risk | 95790-2 |
| 607280 | Other Malignancy - Integrated Risk | 95791-0 |
| 607281 | Benign Mass - Integrated Risk | 95792-8 |
| 607282 | Interpretation | 73884-9 |
| 607333 | Comment | 77202-0 |
| AC1AG | Age at Diagnosis | 63932-8 |
| AC2GD | Gender | 76691-5 |
| AC3MD | Mode of Discovery | 95557-5 |
| AC4TZ | Tumor Diameter (mm) | 21889-1 |
| AC5HX | Unenhanced CT (Hounsfield Units) | 95558-3 |
| AC6HM | Hormonal Excess | 95559-1 |
| TM66 | Collection Duration (h) | 13362-9 |
| VL66 | Volume (mL) | 3167-4 |
| 607283 | Androsterone | 6705-8 |
| 607284 | Androsterone Z-score | 95560-9 |
| 607285 | Etiocholanolone | 2268-1 |
| 607286 | Etiocholanolone Z-score | 95561-7 |
| 607287 | Dehydroepiandrosterone | 13612-7 |
| 607288 | Dehydroepiandrosterone Z-score | 95562-5 |
| 607289 | 16a-OH-Dehydroepiandrosterone | 95563-3 |
| 607290 | 16a-OH-DHEA Z-score | 95564-1 |
| 607291 | 5-Pregnenetriol | 95565-8 |
| 607292 | 5-Pregnenetriol Z-score | 95566-6 |
| 607293 | 5-Pregnenediol | 95567-4 |
| 607294 | 5-Pregnenediol Z-score | 95568-2 |
| 607295 | Tetrahydro-11-Corticosterone | 95569-0 |
| 607296 | TH-11-Corticosterone Z-score | 95570-8 |
| 607297 | Tetrahydro-11-Deoxycorticosterone | 95571-6 |
| 607298 | TH-11-Deoxycorticosterone Z-score | 95572-4 |
| 607299 | Pregnanediol | 2834-0 |
| 607300 | Pregnanediol Z-score | 95573-2 |
| 607301 | 17a-OH-Pregnanolone | 95574-0 |
| 607302 | 17a-OH-Pregnanolone Z-score | 95575-7 |
| 607303 | Pregnanetriol | 2836-5 |
| 607304 | Pregnanetriol Z-score | 95576-5 |
| 607305 | Pregnanetriolone | 50643-6 |
| 607306 | Pregnanetriolone Z-score | 95577-3 |
| 607307 | Tetrahydrodeoxycortisol | 2996-7 |
| 607308 | Tetrahydrodeoxycortisol Z-score | 95578-1 |
| 607309 | Cortisol | 14158-0 |
| 607310 | Cortisol Z-score | 95579-9 |
| 607311 | 6B-OH-Cortisol | 13611-9 |
| 607312 | 6B-OH-Cortisol Z-score | 95580-7 |
| 607313 | Tetrahydrocortisol | 2995-9 |
| 607314 | Tetrahydrocortisol Z-score | 95581-5 |
| 607315 | 5a-Tetrahydrocortisol | 21044-3 |
| 607316 | 5a-Tetrahydrocortisol Z-score | 95582-3 |
| 607317 | B-Cortol | 53634-2 |
| 607318 | B-Cortol Z-score | 95583-1 |
| 607319 | 11B-OH-Androsterone | 6701-7 |
| 607320 | 11B-OH-Androsterone Z-score | 95584-9 |
| 607321 | 11B-OH-Etiocholanolone | 6700-9 |
| 607322 | 11B-OH-Etiocholanolone Z-score | 95585-6 |
| 607323 | Cortisone | 14044-2 |
| 607324 | Cortisone Z-score | 95586-4 |
| 607325 | Tetrahydrocortisone | 16116-6 |
| 607326 | Tetrahydrocortisone Z-score | 95587-2 |
| 607327 | a-Cortolone | 55906-2 |
| 607328 | a-Cortolone Z-score | 95588-0 |
| 607329 | B-Cortolone | 95589-8 |
| 607330 | B-Cortolone Z-score | 95590-6 |
| 607331 | 11-Oxoetiocholanolone | 40867-4 |
| 607332 | 11-Oxoetiocholanolone Z-score | 95591-4 |