Ordering Recommendations

Use this mass spectrometry test to measure a wide range of estradiol concentrations. Most useful when low estradiol concentrations are expected, regardless of the patient’s sex assigned at birth. Use to monitor estradiol in individuals on estrogen-suppressing hormone therapies (eg, aromatase inhibitors or testosterone).To compare this test to other estrogen tests, refer to the ARUP Estrogen Tests Comparison table.

Collection Container

Collect

Serum separator tube, lavender (EDTA), pink (K2EDTA) or green (sodium or lithium heparin).

Specimen Preparation

Separate serum or plasma from cells within 2 hours after collection. Transfer 0.5 mL serum or plasma to an ARUP Standard Transport Tube. (Min 0.3 mL) Indicate age and sex of patient on test request form AND specimen tube.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 48 hours; Refrigerated: 1 week; Frozen: 1 month

Referral Lab

Reference Interval

Components
Reference Interval
Estradiol by Mass Spec
Age
Male (pg/mL)
Female (pg/mL)
7-9 yearsLess than 7.0Less than 36.0
10-12 yearsLess than 11.01.0-87.0
13-15 years1.0-36.09.0-249.0
16-17 years3.0-34.02.0-266.0
18 years and older10.0-42.0Premenopausal
Early Follicular: 30.0-100.0
Late Follicular: 100.0-400.0
Luteal: 50.0-150.0

Postmenopausal: 2.0-21.0
Tanner Stage ILess than 8.0Less than 56.0
Tanner Stage IILess than 10.02.0-133.0
Tanner Stage III1.0-35.012.0-277.0
Tanner Stage IV-V3.0-35.02.0-259.0


Interpretive Data


For a complete set of all established reference intervals, refer to ltd.aruplab.com/Tests/Pub/0093247.

This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the US Food and Drug Administration. This test was performed in a CLIA certified laboratory and is intended for clinical purposes.

CPT Codes

82670

LOINC

  • 35384-7

ARUP Test Code

0093247
Collection & Processing

Ordering Recommendations

Use this mass spectrometry test to measure a wide range of estradiol concentrations. Most useful when low estradiol concentrations are expected, regardless of the patient’s sex assigned at birth. Use to monitor estradiol in individuals on estrogen-suppressing hormone therapies (eg, aromatase inhibitors or testosterone).To compare this test to other estrogen tests, refer to the ARUP Estrogen Tests Comparison table.

Collection Container

Collect

Serum separator tube, lavender (EDTA), pink (K2EDTA) or green (sodium or lithium heparin).

Specimen Preparation

Separate serum or plasma from cells within 2 hours after collection. Transfer 0.5 mL serum or plasma to an ARUP Standard Transport Tube. (Min 0.3 mL) Indicate age and sex of patient on test request form AND specimen tube.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 48 hours; Refrigerated: 1 week; Frozen: 1 month

Referral Lab

CR&P Information
Result Interpretation

Reference Interval

Components
Reference Interval
Estradiol by Mass Spec
Age
Male (pg/mL)
Female (pg/mL)
7-9 yearsLess than 7.0Less than 36.0
10-12 yearsLess than 11.01.0-87.0
13-15 years1.0-36.09.0-249.0
16-17 years3.0-34.02.0-266.0
18 years and older10.0-42.0Premenopausal
Early Follicular: 30.0-100.0
Late Follicular: 100.0-400.0
Luteal: 50.0-150.0

Postmenopausal: 2.0-21.0
Tanner Stage ILess than 8.0Less than 56.0
Tanner Stage IILess than 10.02.0-133.0
Tanner Stage III1.0-35.012.0-277.0
Tanner Stage IV-V3.0-35.02.0-259.0


Interpretive Data


For a complete set of all established reference intervals, refer to ltd.aruplab.com/Tests/Pub/0093247.

This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the US Food and Drug Administration. This test was performed in a CLIA certified laboratory and is intended for clinical purposes.

Testing Updates
Billing Codes

CPT Codes

82670

LOINC

  • 35384-7

ARUP Test Code

0093247

Ordering Information

Cerner Orderable
Estradiol, TMS
Penn Chart Orderable
Estradiol by Tandem Mass Spectometry; ESTTMS
Performing Lab
ARUP
Performed
Sun-Sat
Reported
1-5 days
Methodology
Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Synonyms
  • Estradiol (E2)
  • Ultrasensitive Estradiol

ARUP Consult®

Disease Topics