Acthpregcplasmcnc
This test measures the level of corticotropin (ACTH) in your blood before a glucagon stimulation test to evaluate how well your pituitary and adrenal glands are functioning.
{"ACTH is a hormone produced by the pituitary gland that controls cortisol production","This test helps diagnose disorders of the adrenal and pituitary glands","Blood is drawn before receiving glucagon medication","The test helps differentiate between various hormonal disorders","Results help doctors assess conditions like Cushing's syndrome or Addison's disease"}
Key facts at a glance
- LOINC
- 58622-2
- Short code
- ACTH pre-glucagon
- Synonyms
- ACTH pre Gc Plas-mCnc
- Category
- chemistry
- Sample
- plasma
- Container
- Lavender top (EDTA) tube - plasma separator tube acceptable
- Units
- N/A
- Ref low
- 10
- Ref high
- 60
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- ≥ 0 years
- Method
- Immunoassay (Chemiluminescent or Electrochemiluminescent)
- CPT
- 82024
- SNOMED
- 313295008
- Specimen volume
- 1-2 mL plasma minimum
- Stability
- Centrifuge within 1 hour of collection. Separate plasma promptly. Store at 2-8°C if testing within 24 hours. For longer storage, freeze at -20°C or below. Avoid repeated freeze-thaw cycles.
- Hemolysis max
- 50
- Lipemia max
- 300
- Icterus max
- 20
- TAT
- 24–72 hours
- Order
- routine
What is this test?
This test measures the amount of corticotropin (also known as ACTH - Adrenocorticotropic Hormone) in your blood plasma. ACTH is a hormone produced by the pituitary gland, a small pea-sized gland at the base of your brain. The primary function of ACTH is to stimulate your adrenal glands (located on top of your kidneys) to release cortisol, which helps your body respond to stress, maintain blood pressure, and regulate metabolism.
Why is it done before glucagon stimulation?
The glucagon stimulation test is a procedure used to evaluate how well your pituitary and adrenal glands work together. Glucagon is a hormone that normally raises blood sugar levels, but it also stimulates the pituitary gland to release ACTH. By measuring your baseline ACTH level (before receiving glucagon) and comparing it to levels after glucagon is given, doctors can determine if your hormonal response is normal. This helps identify problems with your pituitary-adrenal axis.
How is the test performed?
A healthcare professional will draw a blood sample from a vein in your arm, usually in the morning when ACTH levels are naturally highest. This sample is collected before you receive the glucagon injection. The blood will be sent to a laboratory for analysis to measure your baseline ACTH concentration.
Do I need to prepare for the test?
Your doctor may ask you to fast (not eat or drink anything except water) for a certain period before the test. Certain medications, especially steroids or hormonal treatments, may need to be stopped before testing. Inform your doctor about all medications and supplements you are taking. Stress, recent illness, and physical activity can affect ACTH levels, so try to rest before the test.
Reference range
Reference range varies by laboratory and assay method. Typical morning baseline: 10-60 pg/mL (2.2-13.2 pmol/L). Results should be interpreted in clinical context.N/A
Patient should be at rest for 15-30 minutes prior to collection. Maintain consistent posture (seated or recumbent). Record exact collection time as ACTH follows circadian rhythm. Inform laboratory of any medications that may affect ACTH levels.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Frequently asked questions
Is the test painful?
How long does it take to get results?
What do abnormal results mean?
Are there any risks?
Why is morning testing important?
Sources
- 1MedlinePlus - ACTH TestSource
- 2
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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