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Cortisol, Free And Cortisone, 24 Hour Urine with Creatinine

Test Code

37355

CPT Code(s)

82530, 83789

Preferred Specimen(s)

10 mL urine

Minimum Volume

2.6 mL

Alternative Specimen(s)

Random urine; ok to add preservative after collection

Collection Instructions

Collect urine with 10 grams of boric acid or keep urine refrigerated during collection if preservative is not used. Record 24-hour urine volume on test requisition and urine vial. Reference ranges do not apply to random urine samples.

Transport Container

24 hour urine container

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 6 months

Reject Criteria

Received room temperature

Methodology

Liquid Chromatography, Tandem Mass Spectometry (LC/MS/MS)

Performing Laboratory

Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042

Setup Schedule

Set up: Wed

Reference Range(s)

Cortisol, Free, Urine:  
Adult: 4.0-50.0 µg/24 hrs
Pediatric:  
1-4 Years: 0.9-8.2 µg/24 hrs
5-9 Years: 1.0-30.0 µg/24 hrs
10-13 Years: 1.0-45.0 µg/24 hrs
14-17 Years: 3.0-55.0 µg/24 hrs

Cortisone, 24 hr Urine:  
Adults: 23-195 µg/24 hrs

Creatinine, 24-Hour Urine:  
Age (years) g/24 hours
3-8 0.11-0.68
9-12 0.17-1.41
13-17 0.29-1.87
Adults 0.63-2.50

Clinical Significance

Urinary free cortisol is useful in the detection of patients with Cushing's syndrome for whom free cortisol concentrations are elevated

LOINC®' Code(s)

The Result and LOINC information listed below should not be used for electronic interface maintenance with Quest Diagnostics. Please contact the Quest Diagnostics Connectivity Help Desk for more information at 800-697-9302.

NOTE: The codes listed in the table below are not orderable Test Codes.

Result
Code
Result NameLOINC CodeComponent Name
85986150TOTAL VOLUME3167-4Specimen volume
85986152CREATININE, URINE2162-6Creatinine
85987390CORTISOL, FREE, URINE2147-7Cortisol.free
85991837CORTISONE, 24 HR URINE14044-2Cortisone

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

LOINC assignment is based on a combination of test attributes, including the method used by the performing laboratory. For tests not performed by Quest Diagnostics, codes are assigned by the performing laboratory.

* The tests listed by specialist are a select group of tests offered. For a complete list of Quest Diagnostics tests, please refer to our Directory of Services.