Testosterone, Free, Direct With Total Testosterone

CPT 84402; 84403
Synonyms
  • Free Testosterone, Direct and Total

Test Details

Use

Evaluate hirsutism and masculinization in women; evaluate testicular function in clinical states where the testosterone binding proteins may be altered (obesity, cirrhosis, thyroid disorders); see individual test descriptions for more information

Special Instructions

State patient's age and sex on the test request form.

This panel includes Testosterone, Total, which may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H, or coenzyme R). It is recommended to ask all patients who may be indicated for this test about biotin supplementation. Patients should be cautioned to stop biotin consumption at least 72 hours prior to the collection of a sample.

Limitations

A pediatric reference interval has not been established for the direct free testosterone test.

Methodology

Free: Direct analog enzyme immunoassay (EIA); Total: electrochemiluminescence immunoassay (ECLIA)

Related Documents

For more information, please view the literature below.

Frequently Asked Questions: Testosterone by Mass Spectrometry—New Profiles

Specimen Requirements

Information on collection, storage, and volume

Specimen

Serum

Volume

2 mL

Minimum Volume

1 mL (Note: This volume does not allow for repeat testing.)

Container

Red-top tube or gel-barrier tube

Storage Instructions

Room temperature

Causes for Rejection

Gross lipemia (may yield erroneously high free testosterone results); plasma specimen; gross hemolysis and/or gross icterus cause for rejection of direct free testosterone

Collection

If a red-top tube is used, transfer separated serum to a plastic transport tube.