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Test ID: FCAH6
CAH Pediatric Profile 6, Comprehensive Screen (Androstenedione, Specific S, Cortisol, DHEA, DOC, 17-OH-Prenenolone, Progesterone, 17-OH-Progesterone, Testosterone)

Secondary ID A test code used for billing and in test definitions created prior to November 2011

91196

NY State Approved Indicates the status of NY State approval and if the test is orderable for NY State clients.

Yes

Method Name A short description of the method used to perform the test

Radioimmunoassay (RIA)

High Performance Liquid Chromatography/Tandem Mass

Spectrometry (LC-MS/MS)

Reporting Name A shorter/abbreviated version of the Published Name for a test; an abbreviated test name

CAH Profile 6

Aliases Lists additional common names for a test, as an aid in searching

CAH Profile 6 FORWARD
CAH Profile 6-Comprehensive FORWARD
Congenital Adrenal Hyperplasia, Comprehensive Screen FORWARD

Specimen Type Describes the specimen type needed for testing

Serum

Specimen Required Defines the optimal specimen. This field describes the type of specimen required to perform the test and the preferred volume to complete testing. The volume allows automated processing, fastest throughput and, when indicated, repeat or reflex testing.

Draw blood in a plain, red-top tube(s). Spin down and separate

within 1 hour of collection and send 3.5 mL of serum frozen in

plastic vial. Specimens drawn in serum gel tube(s) must be

poured off into a plastic screw cap vial before freezing.

Specimen Minimum Volume Defines the amount of specimen required to perform an assay once, including instrument and container dead space. Submitting the minimum specimen volume makes it impossible to repeat the test or perform confirmatory or perform reflex testing. In some situations, a minimum specimen volume may result in a QNS (quantity not sufficient) result, requiring a second specimen to be collected.

2 mL
NOTE: Minimum volume does not allow for repeat analysis.

Reject Due To Identifies specimen types and conditions that may cause the specimen to be rejected

Specimens other than

Serum

Anticoagulants other than

NA

Hemolysis

NA

Thawing

Warm reject; Cold reject

Lipemia

NA

Icteric

NA

 

Specimen Stability Information Provides a description of the temperatures required to transport a specimen to the laboratory. Alternate acceptable temperature(s) are also included.

Specimen TypeTemperatureTime
SerumFrozen30 days

Reference Values Describes reference intervals and additional information for interpretation of test results. May include intervals based on age and sex when appropriate. Intervals are Mayo-derived, unless otherwise designated. If an interpretive report is provided, the reference value field will state this.

Androstenedione

     Units:  ng/dL

Age                                              Range

Premature (26-28w) Day 4             63 - 935

Premature (31-35w) Day 4             50 - 449

Full Term (1-7 days)                    <10 - 279

           

Levels decrease rapidly to a range of <52 ng/dL after one week.

 

1-11m                                         <10 - 37

           

Androstenedione gradually decreases during the first six

months to prepubertal levels.

           

Prepubertal Children                     <10-17

Adult Males                                    44 - 186

Adult Females                                28 - 230

Females Postmenopausal            <10-93

Females

Tanner Stages               Age (years)        Range

          1                          <9.2                 <10-17

          2                         9.2-13.7            <10-72

          3                         10.0-14.4             50-170

          4                         10.7-15.6             47-208

          5                         11.8-18.6             50-224

 

Males

Tanner Stages               Age (years)        Range

          1                          <9.8                  <10-17

          2                            9.8-14.5         <10-33

          3                         10.7-15.4             17-72 

          4                         11.8-16.2             15-115           

          5                         12.8-17.3             33-192

 

 

Cortisol

     Units:  ug/dL

Age                                                      Range

Premature (26-28w) Day 4                      1.0 - 11

Premature (31-35w) Day 4                      2.5 -   9.1

Full Term Day 3                                     1.7 - 14

Full Term Day 7                                     2.0 - 11

31d - 11m                                             2.8 - 23

12m - 15y (8:00 AM)                              3 .0 - 21

 

Adults

   8:00 AM                                             8.0 - 19

   4:00 PM                                             4.0 - 11

 

 

Deoxycorticosterone (DOC)

     Units:  ng/dL

Age                                                      Range

Premature (26 - 28w) Day 4                    20 - 105

Premature (34 - 36w) Day 4                    28 - 78

Newborn:   Levels are markedly elevated at birth and

decrease rapidly during the first week to the range of

7 - 49 as found in older infants.

    

1 - 11m                                                 7 - 49

Prepubertal Children                              2 - 34

Pubertal Children

   and Adults 8:00 AM                            2 – 19

 

 

Dehydroepiandrosterone (DHEA)

     Units:  ng/dL

Age                                                 Range

 1-5 yrs                                               <68

6-7 yrs                                               <111

8-10 yrs                                             <186

11-12 yrs                                           <202

13-14 yrs                                           <319

15-16 yrs                                           39-481

17-19 yrs                                           40-491

20-49 yrs                                           31-701

> or = 50 yrs                                     21-402      

 

11-Desoxycortisol

     Units:  ng/dL

Age                                                   Range

Premature (26-28w) Day 4                 110 - 1376

Premature (31-35w) Day 4                   48 - 579

Newborn Day 3                                  13 - 147

1 - 11m                                            <10 - 156

Prepubertal 8:00 AM                           20 - 155

Pubertal Children and

Adults 8:00 AM                                  12 - 158

 

17-OH Pregnenolone

      Units:  ng/dL

Age                                                  Range                              

Premature (26-28w) Day 4                375 - 3559

Premature (31-35w) Day 4                 64 - 2380

3 Days                                            10 - 829

1 - 5m                                             36 - 763

6 - 11m                                            42 - 540

12 - 23m                                         14 - 207

24m  - 5y                                        10 - 103

6 - 9y                                              10 - 186

Pubertal                                          44 - 235

Adults                                             53 - 357

 

 Progesterone

     Units:  ng/dL

Males

Age                                          Range                    

1-16y                                       <10-15

Adults                                      <10-11

 

Females

Age                                          Range                    

1-10y                                       <10-26

    11y                                      <10-255

    12y                                      <10-856

    13y                                      <10-693

    14y                                      <10-1204

    15y                                      <10-1076

    16y                                      <10-1294

 

Adult

Cycle Days                                  Range

1-6                                             <10-17

7-12                                           <10-135

13-15                                          <10-1563

16-28                                          <10-2555

Post Menopausal                        <10

 

Note: Luteal progesterone peaked from 350 to 3750 ng/dL

on days ranging from 17 to 23.

 

17-Alpha-Hydroxyprogesterone

     Units:  ng/dL    

 Age                                             Range            

Premature (26-28w) Day 4             124 - 841

Premature (31-35w) Day 4               26 - 568

 Full-Term Day 3                               <78

 

Males: Levels increase after the first week to peak values

ranging from 40 - 200 between 30 and 60 days. Values then

decline to a prepubertal value of  <91 before one year.

 

      Prepubertal                             <91

     Adult Males                               27-199

Females

      1 - 11m                                    13-106

      Prepubertal                             <91

Adult Females

      Follicular                                  15-70

      Luteal                                       35-290

 

Females

Tanner Stages               Age (years)       Range

          1                          <9.2                  <83

          2                         9.2-13.7            11-98

          3                         10.0-14.4           11-155

          4                         10.7-15.6           18-230

          5                         11.8-18.6           20-265

 

Males

Tanner Stages               Age (years)       Range

           1                          <9.8                 <91

          2                           9.8-14.5            <116

          3                         10.7-15.4             10-138

          4                         11.8-16.2             29-180

          5                         12.8-17.3             24-175

 

Testosterone, Serum (Total)

     Units:  ng/dL         

 Age                                                     Range

Males                                 

  Premature (26-28w) Day 4                    59 - 125

  Premature (31-35w) Day 4                    37 - 198

  Newborns                                           75 - 400

 

1 - 7m:  Levels decrease rapidly the first week to 20 - 50, then

increase to 60 - 400 between 20 - 60 days. Levels then decline

to prepubertal range levels of <2.5 - 10 by seven months.

 

Females

  Premature (26 - 28w) Day 4                  5 - 16

  Premature (31 - 35w) Day 4                  5 - 22

  Newborns                                          20 - 64

 

1 - 7m: Levels decrease during the first month to less than 10

and remain there until puberty.

 

Prepubertal Males and Females           <2.5 - 10

Adult Males    >18 years                      348 - 1197

Adult Females                                                  

    Premenopausal:                             10 - 55

    Postmenopausal:                             7 - 40

 

Males

Tanner Stage           Age (years)             Male

      1                           <9.8                 <2.5 - 10

      2                           9.8 – 14.5           18 - 150

      3                         10.7 – 15.4          100 - 320

      4                         11.8 – 16.2          200 - 620

      5                         12.8 – 17.3          350 - 970

 

Females

Tanner Stage          Age (years)             Female

      1                          <9.2                  <2.5 - 10

      2                       9.2 - 13.7                 7 - 28

      3                      10.0 - 14.4               15 - 35

      4                      10.7 - 15.6               13 - 32

      5                      11.8 - 18.6                20 - 38

 

Test Performed By:   Esoterix Endocrinology

                                4301 Lost Hills Rd

                                Calabasas Hills, CA 91301

Day(s) and Time(s) Test Performed Outlines the days and times the test is performed. This field reflects the day and time the sample must be in the testing laboratory to begin the testing process and includes any specimen preparation and processing time required before the test is performed. Some tests are listed as continuously performed, which means assays are performed several times during the day.

Monday, Wednesday

Analytic Time Defines the amount of time it takes the laboratory to setup and perform the test. This is defined in number of days. The shortest interval of time expressed is "same day/1 day," which means the results may be available the same day that the sample is received in the testing laboratory. One day means results are available 1 day after the sample is received in the laboratory.

4-8 days

Maximum Laboratory Time Defines the maximum time from specimen receipt at Mayo Medical Laboratories until the release of the test result

6 - 14 days

Performing Laboratory Location The location of the laboratory that performs the test

Esoterix Endocrinology

CPT Code Information Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Medical Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.

82633/DOC

82634/Specific S

82157/Androstenedione

82533/Cortisol

82626/DHEA

84143/17-OH-Pregnenolone

84144/Progesterone

83498/17-OH-Progesterone

84403/Testosterone

 

LOINC® Code Information Provides guidance in determining the Logical Observation Identifiers Names and Codes (LOINC) values for the result codes returned for this test or profile.

Result IDReporting NameLOINC Code
Z1886CortisolIn Process
Z0226Deoxycorticosterone (DOC)In Process
Z1889Dehydroepiandrosterone (DHEA)In Process
Z022711-Desoxycortisol (Spec Compound S)In Process
Z189217-OH PregnenoloneIn Process
Z1894ProgesteroneIn Process
Z189717-Alpha-HydroxyprogesteroneIn Process
Z1901AndrostenedioneIn Process
Z1904Testosterone, Serum (Total)In Process