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Test Code CAH21 Congenital Adrenal Hyperplasia (CAH) Profile for 21-Hydroxylase Deficiency, Serum

Additional Codes

Hospital Order Code
Lab2608   MISMGO

 

Reporting Name

CAH 21-Hydroxylase Profile

Useful For

Preferred screening test for congenital adrenal hyperplasia (CAH) caused by 21-hydroxylase deficiency

 

Part of a battery of tests to evaluate women with hirsutism or infertility, which can result from adult-onset CAH

Profile Information

Test ID Reporting Name Available Separately Always Performed
CORTI Cortisol, S Yes, (order CINP) Yes
ANDRO Androstenedione, S Yes, (order ANST) Yes
H17 17-Hydroxyprogesterone, S Yes, (order OHPG) Yes

Method Name

Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS)

Portions of this test are covered by patents held by Quest Diagnostics

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Serum Red


Ordering Guidance


This profile provides the simultaneous determination of 17-hydroxyprogesterone, androstenedione, and cortisol. These steroids can also be ordered individually: OHPG / 17-Hydroxyprogesterone, Serum; ANST / Androstenedione, Serum; and CINP / Cortisol, Mass Spectrometry, Serum.



Specimen Required


Collection Container/Tube: Red top (serum gel/SST are not acceptable)

Specimen Volume: 0.6 mL

Submission Container/Tube: Plastic vial

Collection Instructions:

1. Morning (8 a.m.) and afternoon (4 p.m.) specimens are preferred.

2. Include time of collection.

3. Centrifuge and aliquot serum into a plastic vial.

Additional Information: If multiple specimens are collected, send separate order for each specimen.


Specimen Minimum Volume

0.25 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum Red Refrigerated (preferred) 14 days
  Frozen  28 days
  Ambient  7 days

Reject Due To

Gross hemolysis OK
Gross lipemia Reject
Gross icterus OK

Day(s) Performed

Monday through Friday

CPT Code Information

82157

82533

83498

LOINC Code Information

Test ID Test Order Name Order LOINC Value
CAH21 CAH 21-Hydroxylase Profile 79221-8

 

Result ID Test Result Name Result LOINC Value
30041 Androstenedione, S 1854-9
30042 17-Hydroxyprogesterone, S 1668-3
30040 Cortisol, S 2143-6
30070 AM Cortisol 9813-7
30071 PM Cortisol 9812-9

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.

Report Available

2 to 5 days

Forms

If not ordering electronically, complete, print, and send a Biochemical Genetics Test Request (T798) with the specimen.