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Acthpregcplasmcnc

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

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.

Quick summary

{"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"}

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

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

Specimen: plasma

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?
You may feel a brief pinch or sting when the needle is inserted to draw blood. Some people may experience mild bruising afterward, but this typically resolves quickly.
How long does it take to get results?
Results are usually available within a few days to a week, depending on the laboratory. Your doctor will contact you with the results and discuss what they mean for your health.
What do abnormal results mean?
Abnormal results do not always mean you have a serious condition. Your doctor will interpret your results based on your symptoms, other test results, and overall health. Further testing may be needed to confirm a diagnosis.
Are there any risks?
The risks are minimal and include slight bleeding, bruising, or infection at the injection site. Some people may feel dizzy or faint during or after the blood draw.
Why is morning testing important?
ACTH levels naturally fluctuate throughout the day, with the highest levels typically occurring in the early morning (around 6-8 AM). Testing in the morning helps establish a reliable baseline for comparison.
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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