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Cortisol (Serum) with High-Pressure Liquid Chromatography (HPLC) Measurement

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of cortisol, a hormone produced by your adrenal glands, in your blood. It helps assess adrenal function, including conditions like Cushing’s syndrome or adrenal insufficiency.

Quick summary

["Cortisol levels can indicate whether your adrenal glands are working properly or if you have hormonal imbalances."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
50424-1
Short code
Cortis 1h p 100 ug CRH IV SerPl-mCnc
Synonyms
Cortis 1h p 100 ug CRH IV SerPl-mCnc
Category
hormone
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
86701
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your doctor may order this test to diagnose or monitor conditions such as Cushing’s syndrome (too much cortisol), adrenal insufficiency (too little cortisol), or to check for issues related to stress responses or hormone-related disorders.

What Does the Test Involve?

A blood sample is taken from a vein, usually in your arm. The sample is then processed and analyzed using a high-performance liquid chromatography (HPLC) method to measure cortisol concentration.

What Do Results Mean?

Results help determine whether your cortisol levels are within normal ranges or if they are elevated or low, guiding treatment decisions. Interpretation depends on timing (e.g., morning vs. evening) and clinical context.

Common Conditions Monitored

This test is often used to evaluate adrenal gland disorders, stress responses, or hormone imbalances. It may also be part of broader evaluations for symptoms like weight changes, fatigue, or unexplained high blood pressure.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Cortisol is crucial for regulating metabolism, immune response, and stress reactions. Abnormal levels can cause significant health issues, including fatigue, weight changes, muscle weakness, or hormonal imbalances. Your doctor will discuss results in relation to your symptoms and medical history.

Short name

Serum Cortisol

Frequently asked questions

What does a high cortisol level mean?
A high cortisol level may suggest conditions like Cushing’s syndrome, where the body produces too much cortisol, or chronic stress. It can also be influenced by certain medications or other health conditions.
What does a low cortisol level mean?
A low cortisol level may indicate adrenal insufficiency, where the adrenal glands do not produce enough cortisol. This can occur due to autoimmune diseases, infections, or long-term steroid use.
How often should I get this test?
Your doctor will determine the frequency based on your symptoms, medical history, and treatment plan. Follow-up tests may be scheduled periodically to monitor changes in cortisol levels.
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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 16, 2026. · Read our editorial policy