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Test Code N.TSH.FT4RFLX TSH W/REFLEX FT4

Additional Codes

N.TSH.FT4R.FLX

Methodology

Automated Chemistry Analyzer

Specimen Requirements

Serum or Plasma

Container: SST tube or Green top Lithium heparin

Specimen Collection: 1 mL (minimum 0.5 mL)

  1. Allow specimen to clot completely if  a serum tube (SST) was used.
  2. Separate serum (SST) or plasma (Lithium Heparin) from cells within 24 hours and transport refrigerated. If red top tube is collected, separate serum from cells within 2 hours and place in separate plastic tube.
  3. Properly label tube with patient's name, DOB, requisition number and type of tube, i.e. GREEN.

Alternate Specimens: Red top tube (Serum) or K2EDTA Plasma

Specimen Transport/Stability

Refrigerated: 24 hours on gel, 7 days poured off

Specimen Rejection

1. Exceeding stability requirements

2. Unlabeled specimen

Maximum Laboratory Time

24 - 48 hours

Reference Ranges

TSH       mcIU/mL
Newborn      2.00 - 7.00
1 mo      0.00 - 5.00
15 yrs      0.35 - 4.94
   
Reflex Condition:     Abnormal TSH

 

 

Day(s) Test Set Up

Daily

Test Classification and CPT Coding

84443

 

Reflex:

FT4  

84436