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Test Code PITPLM PROFILE PITUITARY MALE

Important Note

Early morning collection is desirable (6-10 a.m.).

Testing performed at  UVM Medical Center and Mayo Clinic Laboratories.

Test includes: FSH,LH, Prolactin, Free T4, T4, TSH, ACTH, Cortisol, Alpha Subunit, Insulin Like GF, Glucose, Growth Hormone.

Test subject to Medicare National Coverage Determination (NCD).  See individual tests. 

When ordering a custom panel, Medicare requires the clinician confirm each test in the panel is medically necessary for the patient’s treatment. By regulation, annually we will send a physician acknowledgement letter to ordering clinicians requesting a signature attesting to medical necessity review.

Additional Codes

Primary ID

Epic Code

Mayo Test ID

PITPLM

LAB3266 N/A

 

Specimen Information

Container

Specimen

Temperature

Collect Vol

Submit Vol

Minimum Vol

Stability
Serum Separator Tube Serum

Refrigerate

20 mL 10 mL 10 mL 3 days
Lavender (EDTA) tube Whole Blood * 3.5 mL 3.5 mL 3.5 mL 2 hours
Plain Red Top     10 mL      

*Collect tube, place on ice, and deliver to laboratory immediately.

See individual tests for collection and processing information.

Test Schedule / Analytical Time / Test Priority

Monday – Friday / 3 days / Not available STAT

Method

See individual tests.

CPT(s)

See individual tests.

Reference Range

See individual tests.

Section

Chemistry-2 and Mayo Clinic Laboratory

Is the UVMMC lab NY State Certified to perform this testing?  Yes/No

Yes

LOINC Code Information

See individual tests.