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11ohad1hp250ugacthserplscnc

Published: August 9, 2026Updated: August 15, 2026

A blood test that measures 11-Hydroxyandrostenedione levels after adrenal gland stimulation to evaluate adrenal function.

Quick summary

{"Measures hormone levels 1 hour after corticotropin (ACTH) injection","Helps diagnose adrenal gland disorders like congenital adrenal hyperplasia","Requires a blood sample drawn from a vein in your arm","The test involves a stimulation agent to check how well your adrenal glands respond","Results help doctors understand if your adrenal glands are producing hormones properly"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
50070-2
Short code
11-OHA ACTH stim
Synonyms
11OH-Ad 1h p 250 ug ACTH SerPl-sCnc
Category
chemistry
Sample
serum
Container
Serum separator tube (SST, gold top) or plain red top tube
Units
N/A
Ref low
3
Ref high
15
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Liquid chromatography-tandem mass spectrometry (LC-MS/MS) or Immunoassay
CPT
82533
SNOMED
414299006
Specimen volume
2-3 mL serum minimum
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
50
Lipemia max
300
Icterus max
20
TAT
48–168 hours
Order
routine

What is this test?

The 11-Hydroxyandrostenedione test measures the amount of a hormone called 11-Hydroxyandrostenedione in your blood. This hormone is produced by your adrenal glands, which are small glands located on top of each kidney. The test is performed after an injection of corticotropin (ACTH), a hormone that stimulates the adrenal glands to produce hormones. Your blood is drawn 1 hour after the injection to see how your adrenal glands responded.

Why do I need this test?

Your doctor may order this test if they suspect you have a problem with your adrenal glands. This test helps diagnose conditions such as congenital adrenal hyperplasia (a genetic disorder affecting hormone production), adrenal insufficiency (when the adrenal glands don't produce enough hormones), or other adrenal disorders. It can also help distinguish between different types of adrenal gland problems.

How should I prepare for this test?

Follow your doctor's instructions carefully. You may need to fast (not eat or drink anything except water) for a certain period before the test. Tell your doctor about all medications you are taking, as some medicines can affect test results. Your doctor may ask you to stop certain medications before the test. Wear comfortable clothing with sleeves that can be easily rolled up for the blood draw.

What happens during the test?

First, a healthcare professional will give you an injection of corticotropin (ACTH) into your muscle or vein. After exactly 1 hour, a blood sample will be taken from a vein in your arm using a small needle. The blood draw only takes a few minutes. You may feel a brief pinch or sting when the needle is inserted. You can resume your normal activities after the test.

Are there any risks?

The risks of this test are minimal. You may experience slight pain, bruising, or bleeding at the injection site. Some people may feel lightheaded during or after the blood draw. The corticotropin injection may cause temporary flushing, increased heart rate, or mild nausea. These side effects usually go away quickly. Serious reactions to the injection are rare.

Reference range

Reference range: 3.0-15.0 nmol/L at 1 hour post 250 mcg ACTH stimulation. Normal response shows significant increase from baseline. Peak levels typically occur 30-60 minutes post-stimulation.N/A

Specimen: serum

Patient should rest for 30 minutes prior to test. Baseline sample collected, then 250 mcg corticotropin (ACTH) administered intravenously or intramuscularly. Second sample collected exactly 60 minutes post-administration. Inform patient about potential for mild flushing or dizziness during test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

How long does the test take?
The entire procedure takes about 1-2 hours. The corticotropin injection is given first, and you will need to wait exactly 1 hour before having your blood drawn.
When will I get my results?
Results are typically available within a few days to a week, depending on the laboratory. Your doctor will contact you with the results or discuss them at your next appointment.
Do I need to fast before this test?
Follow your doctor's specific instructions. Some laboratories may require fasting, while others do not. Ask your healthcare provider for clear instructions before the test.
What do abnormal results mean?
Abnormal results may indicate an adrenal gland disorder. Your doctor will explain what your specific results mean in the context of your overall health and other test results. Further testing may be needed to confirm a diagnosis.
Can I take my regular medications before the test?
Tell your doctor about all medications you are taking. Some medications, especially steroids or hormone treatments, can affect the test results. Your doctor will advise you on which medications to stop or continue before the test.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 15, 2026. · Read our editorial policy