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Test Code CORST Cortrosyn® Stimulation, Serum

Performing Laboratory

Lima Memorial Health System Laboratory

Specimen Requirements

Preferred:
Container/Tube: Green cap-yellow ring Top (Lithium Heparin Gel) tube
Minimum Volume: 1.0 mL 
Collection Instructions: Centrifuge within 2 hours. 

1. Draw a baseline cortisol before the Cortrosyn® is administered.

2. 0.25 mg or 25 units of Cortrosyn® (cosyntropin) is given either intravenously or intramuscularly.

3. Draw cortisol levels at 30 and 60 minutes after administration of drug.

Note:  1. Nursing floor is responsible for obtaining drug from pharmacy. Nursing floor must call main laboratory at extension 5058 to coordinate time of venipunctures.

Also Acceptable:
Container/Tube: Plain, Red Top or Serum gel (SST-Gel) tube

Reference Values

Not applicable

Specimen Stability

Ambient: 8 hours
Refrigerate: 48 hours
Frozen: aliquot for longer storage

Day(s) Test Set Up

Monday through Saturday

Methodology

Chemiluminescent Immunoassay

Test Classification and CPT Coding

80400 - ACTH stimulation
82533 - Cortisol