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Test Code HGHES / 500632-EX GROWTH HORMONE, PEDIATRIC, SERUM

Additional Codes

Software Test Code
SoftID                                                  HGHES                                                                  
EPIC LAB10081
LabCorp (Esoterix) 500632 (500633)

Performing Laboratory

Esoterix Laboratory Services (LabCorp Specialty Testing Group)

Useful For

Diagnosing acromegaly, for assessment of treatment efficacy (in conjunction with glucose suppression test), and for diagnosis of human growth hormone deficiency (in conjunction with growth hormone stimulation test)

This test should be ordered ONLY by a pediatric endocrinology specialist on patients 16 years of age or younger, or as a result of consultation with a pediatric endocrinology specialist. For all other patients, please order “GROWTH HORMONE” test code “HGH”.

Method Name

Double Antibody Radioimmunoassay

Reference Values

Reference Range:

Newborn (1 Day): 5-53 ng/mL.

Newborn (1 Week): 5-27 ng/mL.

Newborn (1-12 Months): 2-10 ng/mL.

Children and Adults: 0-6 ng/mL.

Response Testing (Children and Adults):

The assessment of GH secretory capacity is complicated because of the episodic nature of GH release from the pituitary. Basal GH levels can exhibit considerable variability throughout a 24-hour period, thus limiting their clinical utility. Alternatively, measurement of GH response to various stimuli has commonly been used to improve the diagnostic assessment of GH secretion. GH response to provocative stimuli among normal individuals, however, is highly variable. Response values greater than 10 ng/mL have historically been considered to reflect normal GH secretory function, while values below 10 ng/mL have been considered to indicate some degree of GH deficiency. However, it should be noted that this limit is arbitrarily derived. A significant percentage of normal controls exhibit response values well below this 10 ng/mL limit. The clinical research literature should be consulted for a more recent detailed review of the interpretation of GH response data.

Days and Times Test Performed

Monday through Friday

Report Available

5-10 Days

Analytic time for send out tests is the time it will take to perform testing once it has arrived at the performing reference lab. Please add 1 to 2 days from time of collection to allow for receipt at NorDx central lab and shipment of specimen, add another day if specimen is collected on the day before a weekend or holiday.
 

Specimen Type

Serum

Preferred Container

Serum Separator Tube (SST)

Preferred Volume

Serum: 1 mL (Serum Separator Tube (SST)) -

0.4 mL does not allow for repeat testing

Minimum Volume

Serum: 0.4 mL (Serum Separator Tube (SST))

Specimen Collection and Handling

Spin down, separate from clot within 45 minutes of collection and send frozen.

Specimen Stability Information

Specimen Type: Serum

Frozen: 200 Days

Refrigerated: 7 Days

Room Temp: 7 Days

Add On Capable

Contact Reference Lab – If add-on can never be done, report the test to the Administrative Analyst

Advance Beneficiary Notice Requirements

No ABN Required

CPT Code Information

CPT Code

CPT Description

CPT Disclaimer

83003 Human Growth Hormone (HGH), (Somatotropin), Quantitative  

Performing Laboratory Location

Esoterix Laboratory Services (LabCorp Specialty Testing Group)

LOINC Code Information

2963-7