Cortisol, Free And Cortisone, 24 Hour Urine with Creatinine
Test Code
37355
82530, 82542, 82570
Clinical Significance
Cortisol, Free And Cortisone, 24 Hour Urine with Creatinine - Urinary free cortisol is useful in the detection of patients with Cushing's syndrome for whom free cortisol concentrations are elevated
Test Resources
None found for this test
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Test Details
CPT code 81050 may be added at an additional charge for volume measurement
Methodology
Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.
Reference Range(s)
Cortisol, Free, 24-Hr Urine
Cortisone, 24-Hr Urine
Creatinine, 24-Hour Urine
| Adult | 4.0-50.0 mcg/24 hrs |
| Pediatric | |
| 1-4 Years | 0.9-8.2 mcg/24 hrs |
| 5-9 Years: | 1.0-30.0 mcg/24 hrs |
| 10-13 Years | 1.0-45.0 mcg/24 hrs |
| 14-17 Years: | 3.0-55.0 mcg/24 hrs |
Cortisone, 24-Hr Urine
| Adult | 23-195 mcg/24 hrs |
Creatinine, 24-Hour Urine
| <3 Years | Not established | |
| 3-8 Years | 0.10-0.80 g/24 hours | |
| 9-12 Years | 0.20-1.40 g/24 hours | |
| 13-17 Years | 0.40-1.90 g/24 hours | |
| >17 Years | 0.50-2.15 g/24 hours | |
Preferred Specimen(s)
10 mL urine
Alternative Specimen(s)
Random urine; ok to add preservative after collection
Minimum Volume
2.6 mL
Collection Instructions
Collect urine with 10 grams of boric acid or keep urine refrigerated during collection if preservative is not used. Record 24-hour urine volume on test requisition and urine vial.
Reference ranges do not apply to random urine samples.
Transport Container
Plastic urine container
Transport Temperature
Refrigerated (cold packs)
Specimen Stability
- Room temperature: 14 days
- Refrigerated: 21 days
- Frozen: 90 days
Setup Schedule
10 mL urine
Random urine; ok to add preservative after collection
2.6 mL
Collect urine with 10 grams of boric acid or keep urine refrigerated during collection if preservative is not used. Record 24-hour urine volume on test requisition and urine vial.
Reference ranges do not apply to random urine samples.
Reference ranges do not apply to random urine samples.
Plastic urine container
Refrigerated (cold packs)
Room temperature: 14 days
Refrigerated: 21 days
Frozen: 90 days
Refrigerated: 21 days
Frozen: 90 days