Comprehensive Testing for Continuity of Care Endocrinology Reference Guide Access the Insight You Need
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Comprehensive testing for continuity of care Endocrinology Reference Guide Access the insight you need Managing patients with endocrine disorders is complex. Having access to the right test for the right patient is key. With a legacy of expertise in endocrine laboratory diagnostics, Quest Diagnostics offers an extensive menu of laboratory tests across the spectrum of endocrine disorders. This test list highlights the extensive menu of laboratory diagnostic tests we offer, including highly specialized tests and those performed using highly specific and sensitive mass spectrometry detection. It is conveniently organized by glandular function or common endocrine disorder, making it easy for you to identify the tests you need to care for the patients you treat. Table of Contents Adrenal Disorders 1 Adrenocortical Function 1 Catecholamines 2 Congenital Adrenal Hyperplasia 2 Bone and Mineral Metabolism/Parathyroid Disorders 3 Bone and Mineral Metabolism 3 Parathyroid Metabolism 4 Cardiovascular Disorders 4 Dynamic Tests 5 Fluid, Electrolyte, Renal Disorders 6 Genetic Disorders 7 Growth Disorders 10 Hypothalamic and Pituitary Disorders 10 Metabolic (including Diabetes), Gastrointestinal, and Liver Disorders 11 Diabetes Mellitus and Diabetes Risk 11 Gastrointestinal and Liver Disorders 13 Obesity and Post Bariatric Surgery 13 Multiple Endocrine Neoplasia 14 Reproductive Disorders 15 Androgen and Reproductive Evaluation in Males 15 Gonadal Tumors 15 Polycystic Ovary Syndrome (PCOS) 16 Premature Ovarian Failure and Reproductive Evaluation in Females 16 Puberty (Delayed/Absent) 17 Puberty (Precocious) 17 Sexual Differentiation 18 Thyroid Disorders 19 Endocrinology Reference Guide Test Code Test Name Test Code Test Name Adrenal Disorders 402 DHEA Sulfate, Immunoassay 2 Adrenocortical Function 36168 Dihydrotestosterone, Free, Serum 2 6108 ABCD1 (Adrenoleukodystrophy) DNA 90567 Dihydrotestosterone, LC/MS/MS Sequencing Test1 6568(X) Estriol, Amniotic Fluid 211 ACTH, Plasma 34883(X) Estriol, LC/MS/MS, Serum2 4645(X) Adrenal Antibody Screen with Reflex to Titer 36707(X) Hirsutism Panel 22 229 Aldosterone, 24-Hour Urine2 Includes androstenedione, DHEA sulfate, and free and total testosterone. 17181 Aldosterone, LC/MS/MS2 15202 17-Hydroxycorticosteroids with Creatinine, 95084 Aldosterone, LC/MS/MS, Adrenal Vein2 24-Hour Urine 16845 Aldosterone/Plasma Renin Activity Ratio, 8352 17-Hydroxypregnenolone, LC/MS/MS2 LC/MS/MS2 17180 17-Hydroxyprogesterone, LC/MS/MS2 92208 3 -Androstanediol Glucuronide, ELISA3 α 17654(X) 17-Hydroxyprogesterone, Neonatal/Infant2 17182 Androstenedione, LC/MS/MS2 15201(X) 17-Ketosteroids with Creatinine, 24-Hour 812 Autoimmune Polyglandular Syndrome Urine (AIRE) Evaluation1 Detects point mutations, deletions, insertions, 37916(X) 21-Hydroxylase Antibody and rearrangements in AIRE. 92560 Li-Fraumeni Syndrome, TP53 Sequencing 2 6547(X) Corticosterone, LC/MS/MS2 and Deletion/Duplication 37355(X) Cortisol, Free and Cortisone, 24-Hour Urine2 814 NR0B1 (Adrenal Hypoplasia Congenita) DNA Sequencing Test1 37077(X) Cortisol, Free and Total, LC/MS/MS2 16846 Plasma Renin Activity, LC/MS/MS2 14534 Cortisol, Free, 24-Hour Urine2 31493(X) Pregnenolone, LC/MS/MS2 36423(X) Cortisol, Free, LC/MS/MS2 816 Primary Adrenal Insufficiency Evaluation1 11280(X) Cortisol, Free, LC/MS/MS, 24-Hour Urine2 Detects mutations (including point mutations, deletions, insertions, and rearrangements) in 90582 Cortisol, Free, LC/MS/MS, Second Void ABCD1, AIRE, and NR0B1. Urine2 17183 Progesterone, LC/MS/MS2 19897 Cortisol, LC/MS/MS, Saliva2 30740 Sex Hormone Binding Globulin 93020 Cortisol, LC/MS/MS, Saliva, 2 Samples2 36170 Testosterone, Free and Total, LC/MS/MS 18921 Cortisol, LC/MS/MS, Saliva, 4 Samples2 14966 Testosterone, Free, Bioavailable and Total, 11281 Cortisol, Total, LC/MS/MS2 LC/MS/MS 37554(X) Cortisone, 24-Hour Urine2 37073 Testosterone, Total and Free and Sex Hormone Binding Globulin 37098(X) Cortisone, Serum2 30543 11-Deoxycortisol, LC/MS/MS, Serum2 15983 Testosterone, Total, LC/MS/MS 90973 Deoxycorticosterone, LC/MS/MS2 19958 Testosterone, Total, Males (Adult), Immunoassay 29391(X) Dexamethasone2 19894 DHEA (Dehydroepiandrosterone), Unconjugated, LC/MS/MS2 1 Available from Athena Diagnostics Available from Quest Diagnostics Nichols Institute Test Code Test Name Test Code Test Name Catecholamines 14961(X) Metanephrines, Fractionated, LC/MS/MS, Random Urine2 (Panel components may be 39627(X) Catecholamines, Fractionated, 24-Hour ordered separately.) 2 Urine (Panel components may be ordered Includes creatinine (8459) and metanephrine, separately.) normetanephrine, and total metanephrines. Includes creatinine (8459), dopamine (17101X), epinephrine, norepinephrine, and total 37562 Norepinephrine, Plasma2 catecholamines (calculated). 889 Pheochromocytoma Evaluation1 39626(X) Catecholamines, Fractionated, and VMA, Detects mutations in VHL, RET and SDHB. 24-Hour Urine2 (Panel components may be ordered separately.) 10520(X) Pheochromocytoma Evaluation2 (Panel Includes creatinine (8459), dopamine components may be ordered separately.) (17101X), epinephrine, norepinephrine, total Includes creatinine (8459), total catecholamines catecholamines (calculated), and VMA (1710). (39627X), total metanephrines (14962X), and metanephrine/creatinine ratio (calculated). 314(X) Catecholamines, Fractionated, Plasma2 Includes dopamine, epinephrine, norepinephrine, 1710 VMA (Vanillylmandelic Acid), Random Urine2 and total catecholamines (calculated). 39517(X) VMA, 24-Hour Urine2 5244 Catecholamines, Fractionated, Random Urine2 (Panel components may be ordered Congenital Adrenal Hyperplasia separately.) Includes creatinine (375), dopamine (17101X), 91680 CAH (21-Hydroxylase Deficiency) Common 2 epinephrine, norepinephrine, and total Mutations, Fetal Cells catecholamines (calculated). 14755(X) CAH (21-Hydroxylase Deficiency) Common 16381 Catecholamines, Fractionated, Supine, Mutations2 Plasma2 Includes dopamine, epinephrine, norepinephrine, 16072(X) CAH (21-Hydroxylase Deficiency) Rare 2 and total catecholamines. Mutations 16382 Catecholamines, Fractionated, Upright, 15269(X) CAH Panel 1 (21-Hydroxylase vs Plasma2 11β-Hydroxylase Deficiency)2 Includes dopamine, epinephrine, norepinephrine, Includes androstenedione, 11-deoxycortisol, and total catecholamines. 17-hydroxyprogesterone, total cortisol, total testosterone, 11-deoxycortisol/cortisol ratio 16379 Chromogranin A, (calculated), and 17-hydroxyprogesterone/11- Electrochemiluminescence2 deoxycortisol ratio (calculated). 14762(X) Dopamine, Plasma2 15273(X) CAH Panel 3 (Aldosterone Synthase Deficiency) 17101(X) Dopamine, Random Urine2 Includes aldosterone, 11-deoxycortisol, 18-hydroxycorticosterone, 37560(X) Epinephrine, Plasma2 17-hydroxyprogesterone, 18-hydroxycorticosterone/aldosterone ratio 39527(X) Homovanillic Acid, 24-Hour Urine2 (calculated), and 17-hydroxyprogesterone/11- deoxycortisol ratio (calculated). 6346 Homovanillic Acid, Random Urine2 15274(X) CAH Panel 4 (17-Hydroxylase Deficiency in 14962(X) Metanephrines, Fractionated, LC/MS/MS, Females)2 24-Hour Urine2 Includes aldosterone, corticosterone, estradiol, Includes metanephrine, normetanephrine, and 17-hydroxyprogesterone, progesterone, total total metanephrines. cortisol, and progesterone/hydroxyprogesterone ratio (calculated). 19548 Metanephrines, Fractionated, LC/MS/MS, Plasma2 15276(X) CAH Panel 6 (StAR Deficiency)2 Includes metanephrine, normetanephrine, and Includes aldosterone, pregnenolone, total total metanephrines. cortisol, and unconjugated DHEA. Available from Athena Diagnostics Available from Quest Diagnostics Nichols Institute 2 Endocrinology Reference Guide Test Code Test Name Test Code Test Name 16978 CAH Panel 6C (Full Screen)2 874 Lipoid CAH (STAR) DNA Sequencing Test1 Includes androstenedione, Detects mutations (including point mutations, 11-deoxycortisol, 17-hydroxypregnenolone, deletions, insertions, and rearrangements) in the 17-hydroxyprogesterone, progesterone, total STAR gene. cortisol and unconjugated DHEA. 31493(X) Pregnenolone, LC/MS/MS2 15277(X) CAH Panel 7 (21-Hydroxylase Deficiency Therapeutic Monitoring)2 90397 Steroid Panel, 21-Hydroxylase Deficiency/ Includes androstenedione, Stress2 17-hydroxyprogesterone, and total testosterone. Includes androstenedione, 17-hydroxyprogesterone, and total cortisol. 15279(X) CAH Panel 8 (17-Hydroxylase Deficiency in Males)2 90392 Steroid Panel, Comprehensive2 Includes aldosterone, corticosterone, Includes androstenedione, corticosterone, 17-hydroxyprogesterone, progesterone, total cortisone, deoxycorticosterone, cortisol, total testosterone, and progesterone/17- 11-deoxycortisol, 18-hydroxycorticosterone, hydroxyprogesterone ratio (calculated). 17-hydroxypregnenolone, 17-hydroxyprogesterone, pregnenolone, 15280(X) CAH Panel 9 (3-β-Hydroxysteroid progesterone, total cortisol, total testosterone, Dehydrogenase Deficiency Profile) and unconjugated DHEA. Includes androstenedione, 17-hydroxypregnenolone, 90398 Steroid Panel, Congenital Adrenal 2 17-hydroxyprogesterone, total Hyperplasia (CAH) cortisol, unconjugated DHEA, Includes androstenedione, deoxycorticosterone, and 17-hydroxypregnenolone/17- 11-deoxycortisol, 17-hydroxypregnenolone, hydroxyprogesterone ratio (calculated), and 17-hydroxyprogesterone, progesterone, total DHEA/androstenedione ratio (calculated). cortisol, total testosterone, and unconjugated DHEA. 879 Congenital Adrenal Hyperplasia (CAH) 2 Evaluation1 90426 Steroid Panel, PCOS/CAH Differentiation Includes sequencing and deletion detection in Includes androstenedione,