24-Hour Urine Hormone Testing
Code: 4100
Code: 4100
ULTIMATE Hormone Profile
Our most complete 24-hour urine hormone panel for rhythm, metabolism,
and BHRT monitoring.
- At-home collection
- 24-hour coverage
- BHRT friendly
- Clinician-ready report
CPT Codes
Tap “View CPTs” below
Turnaround
Lab-dependent
Sample
24-hour urine
FSA/HSA
Eligible
Full marker list by category
Estrogens (7)
Estrone, Estradiol, 2-Hydroxyestrone…
Estrogens (7)
Estrone, Estradiol, 2-Hydroxyestrone…
- Estrone (E1)
- Estradiol (E2)
- Estriol (E3)
- 2-Hydroxyestrone
- 16α-Hydroxyestrone
- 2-Methoxyestrone
- 2-Methoxyestradiol
Progesterone (1)
Pregnanediol
Progesterone (1)
Pregnanediol
- Pregnanediol
Androgens (6)
DHEA, Testosterone, Androsterone…
Androgens (6)
DHEA, Testosterone, Androsterone…
- DHEA
- Testosterone
- 5α-Androstanediol
- 5β-Androstanediol
- Androsterone
- Etiocholanolone
Glucocorticoids (8)
Cortisol, Cortisone, THF / Allo-THF…
Glucocorticoids (8)
Cortisol, Cortisone, THF / Allo-THF…
- Pregnanetriol
- Cortisone
- Cortisol
- Tetrahydrocortisone (THE)
- Allo-Tetrahydrocortisol (Allo-THF)
- Tetrahydrocortisol (THF)
- 11β-Hydroxyandrosterone
- 11β-Hydroxyetiocholanolone
Mineralocorticoids (4)
Aldosterone, THB / Allo-THB…
Mineralocorticoids (4)
Aldosterone, THB / Allo-THB…
- Aldosterone
- Allo-Tetrahydrocorticosterone (Allo-THB)
- Tetrahydrocorticosterone (THB)
- 11-DHTB
Electrolytes / Na:K Ratio (3)
Sodium, Potassium, Ratio
Electrolytes / Na:K Ratio (3)
Sodium, Potassium, Ratio
- Sodium
- Potassium
- Sodium/Potassium Ratio
Thyroid (2)
Free T3, Free T4
Thyroid (2)
Free T3, Free T4
- Free T3
- Free T4
Organic Acids (2)
Kynurenic, Xanthurenic
Organic Acids (2)
Kynurenic, Xanthurenic
- Kynurenic Acid
- Xanthurenic Acid
Other Markers (5)
hGH, Oxytocin, Melatonin…
Other Markers (5)
hGH, Oxytocin, Melatonin…
- Human Growth Hormone (hGH)
- Oxytocin
- Melatonin
- 6-Sulfatoxymelatonin
- Urine Nitrates
View CPT Codes
82088
82160
82533
82670
82677
82679
82542
82570
82626
82696
83789
83789
84135
84138
84403
84439
84481
84300
84133
81050
83003
83520
83921 × 2
82160
82533
82670
82677
82679
82542
82570
82626
82696
83789
83789
84135
84138
84403
84439
84481
84300
84133
81050
83003
83520
83921 × 2
Male panels also include: 84999, 81050.
CLIA-certified laboratory
What’s Measured in the ULTIMATE Panel?
This profile includes everything from the
PLUS Hormone Profile
,
and adds several more advanced markers:
- Estrogens (E1, E2, E3) and estrogen metabolites
- Pregnanediol (a marker of progesterone activity)
- DHEA, testosterone, and their metabolites
- Cortisol, cortisone, aldosterone, and adrenal function markers
- Free T3 and T4 for thyroid hormone evaluation
- 5α-reductase activity (linked to androgen metabolism)
- 11β-HSD II (regulates cortisol/cortisone balance)
- Human Growth Hormone (hGH)
- Melatonin and Oxytocin
Why Choose This Test?
The ULTIMATE panel offers precise results for people facing:
- Fatigue, insomnia, or anxiety
- Menopausal or perimenopausal transitions
- Weight gain tied to hormone imbalance
- Suspected estrogen dominance or adrenal fatigue
- Thyroid symptoms that don’t show in serum labs
- Unclear results from past hormone testing
Because it captures a full 24-hour period,
the ULTIMATE profile can detect hormonal shifts and enzyme activity that shorter tests might miss.
Easy at-Home Collection
- Receive kit with jug, clear instructions, and return supplies
- Collect urine over a full 24-hour period
- Return to MVL for analysis and a detailed, clinician-ready report
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