CAH Panel 1 (21-Hydroxylase vs 11Beta-Hydroxylase Deficiency)


Abbrev Code:XMISC   
Order Code:LAB4909Order Name:Laboratory Miscellaneous Order
Methodology:Chromatography/Mass Spectrometry
CPT Codes: 83498 x1, 82634 x1, 82533 x1, 82157 x1, 84403 x1
Test Includes:
  • 11-Deoxycortisol
  • Cortisol, Total, LC/MS
  • 17-Hydroxyprogesterone
  • Androstenedione
  • Testosterone, Total, MS
Turnaround Time:Results are reported within 6-10 days
Compliance:

This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.



Collection Instructions

Specimen:Blood
Optimal Volume:9 mL
Minimum\Peds Volume:1.4 mL
Container:Red (gel)
Alternate Containers: Red (no gel)
Causes for Rejection:Gross hemolysis, gross lipemia, use of gel tube


Processing and Shipping

Specimen Processing:Centrifuge and aliquot 3 mL, 0.6 mL minimum.
Shipping Instructions:Ship at refrigerated temperature.
Stability:48 hours at room temperature; 7 days refrigerated; 28 days frozen.
Test Performed at or Referral Lab Lab Sendouts  (Quest Diagnostics)
Referral Lab number:15269


Interpretive

Use:CAH Panel 1 (21-Hydroxylase vs 11Beta-Hydroxylase Deficiency) - Deficiency of 21-Hydroxylase is the most frequent cause of congenital adrenal hyperplasia (accounting for ~95% of cases) and 11Beta-Hydroxylase is the second most frequent (~5% of cases). Deficiencies of these two enzymes result in the accumulation of distinct steroid precursors.


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