Test Code TETF Testosterone, Total & Free
Specimen and Container/Tube
Serum
Rejection Criteria
Whole blood/unspun samples greater than 6 hours will be
rejected.
Turnaround Time
N/A
Test Includes
Total Testosterone, Sex Hormone Binding Globulin, Albumin, Calculated Free Testoserone
Specimen Type
Serum
Preferred Volume
1.0 mL
STAT Turnaround Time
N/A
Critical Results
N/A
Fee Code
43259, 43218, 43372
Container/Tube
Red Top
Specimen Minimum Volume
0.5 mL
Day(s) Performed
Tuesday & Thursday
STAT DAY(S) AND TIME(S) PERFORMED
N/A
CPT
84403, 84270, 82040
Method Name
Spectrophotometric, Liquid Chromatography / Tandem Mass Spectometry (LC-MS/MS)
Reference Values
Refer to total testosterone, albumin and SHBG tests for
reference range information.
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Free Testosterone
Males:
Prepubertal (5-9 years) <3.0* pg/mL
Age 17-55 years 90-300 pg/mL [or 9.0-30.0 ng/dL]
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Females:
Prepubertal (5-8 years) <3.0* pg/mL
Age 11-40 years 3.0-9.0* pg/mL [or 0.3-0.9 ng/dL]
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*Derived by calculation from our normative data established
in
carefully screened children (6-11 yrs old) and young
women(11-40
yrs old, eumenorrheic, nonhirsute, with ultrasonographically
normal
ovaries, reference attached), we expect the normal upper limit
(95th percentile) of free testosterone to be <3.0 pg/ml in
prepubertal children and 9.0 pg/mL in women. For pubertal
children,
free testosterone values are intermediate and fall between
prepubertal and adults values and overlap with both. For aging
men
and post-menopausal women, values fall proportionally as much as
or
more than total testosterone.
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References
1. Children: Bordini BD, Littlejohn EE, Rosenfeld RL. J Clin
Endocrinol Metab 2009; 94: 1168-1175
2. Women: Mortensen M, Ehrmann DA, Littlejohn E, Rosenfield RL.
J
Clin Endocrinol Metab 2009; 94: 1579-86
3. Rosenfield RL, Mortensen M, Wroblewski K, Littlejohn E,
Ehrmann
DA. Determination of the source of androgen excess in
functionally
atypical polycystic ovary syndrome by a short dexamethasone
androgen-suppression test and a low-dose ACTH test. Hum Reprod
2011;26:3138-46
4. Ober C, Loisel DA, Gilad Y. Sex-specific architecture of
human
disease. Nat Rev Gen 2008;doi:10.1038/nrg2415.
Reject Due To
Whole blood/unspun samples greater than 6 hours will be rejected.
Synonyms
N/A
Test Limitations
See specific analytes for testing limitations.
Test Usage
N/A
Offsite Collection Instructions
1. Collect sample following standard collection methods
2. Within 2 hours of collection the sample must be spun and
aliquoted
3. Transport refrigerated (2 – 8°C).
UCMC Collection Instructions
1. Collect sample following standard collection methods
2. Within 2 hours of collection the sample must be received in
Laboratory Service Center
3. Transport room temperature (15 – 25°C).
Additional Information
N/A
Included in Additional codes
N/A
Coverage Information
N/A
Stability: Room Temp
See individual analytes for stability information
Pediatric Volume
0.5 mL
Clinical Indications
N/A
Transport Instructions
1. Collect sample following standard collection methods
2. Within 2 hours of collection the sample must be spun and
aliquoted
3. Transport?�refrigerated?�?�(2 �??
8C).
Test Components
Total Testosterone, Sex Hormone Binding Globulin, Albumin,
Calculated Free Testoserone
Specimen Stability
See individual analytes for stability information
Methodology
Spectrophotometric, Liquid Chromatography / Tandem Mass
Spectometry (LC-MS/MS)
Synonyms/Key Search Words
N/A