Macroprolactin

General Information

Lab Name
Macroprolactin
Lab Code
RMPRLG
Epic Name
Macroprolactin
Description

Useful For:

  • Determining biologically active levels of prolactin, in asymptomatic patients with elevated prolactin levels
  • Ruling out the presence of macroprolactin
Synonyms
Big Prolactin, Macroprolactin, MCRPL, Monomeric, PRL, Prolactin-Macro
Components

Interpretation

Method

Total Prolactin: Electrochemiluminescent Immunoassay

Prolactin, Unprecipitated: Polyethylene Glycol (PEG) Precipitation Followed by Electrochemiluminescent Immunoassay

Reference Range
See individual components
Ref. Range Notes

Prolactin, Total:

  • Males/Females <18 years: not established
  • Males > or = 18 years: 4.0-15.2 ng/mL
  • Females > or = 18 years: 4.8-23.3 ng/mL

Prolactin, Unprecipitated:

  • Males/Females <18 years: not established
  • Males > or = 18 years: 2.7-13.1 ng/mL
  • Females > or = 18 years: 3.4-18.5 ng/mL

When the percent of the precipitated (complexed) prolactin fraction of the total prolactin is 60% or less, the result is considered negative for macroprolactin.

Refer to Mayo's website for additional interpretive information: Macroprolactin, Serum: Clinical & Interpretive

Ordering & Collection

Specimen Type
Blood
Collection

Patient Preparation: For 12 hours before this test, do not take multivitamins or dietary supplements containing biotin (vitamin B7), which is commonly found in hair, skin, and nail supplements and multivitamins.

Collect 3 mL blood in RED TOP tube or GOLD SST

Quantity
Requested: 1 mL serum
Minimum: 0.6 mL serum

Processing

Receiving Instructions

Centrifuge sample and transfer serum to a separate plastic vial. Refrigerate.

Sendouts, order Mayo Test: MCRPL

Stability: Refrigerated (preferred): 7 days; Frozen: 90 days; Ambient: 24 hours.

Misc Sendout

Performance

Lab Department
Sendouts Mayo Lab (RF)(MARF)
Frequency
Performed: Monday - Sunday. Maximum Laboratory Time: 3 days
Available STAT?
No
Performing Location(s)
Sendout Mayo Clinic Laboratories
800-533-1710

200 First Street Southwest
Rochester, MN 55901

Billing & Coding

CPT Codes
84146x2
LOINC
72680-2
Interfaced Order Code
UOW5822