Order Code LAB102 Thyroid Screen with Reflex
Additional Codes
Test Name in EPIC |
EPIC Test Code |
Mnemonic |
RV THYROID SCREEN |
LAB102 |
THYSC |
Useful For
Diagnosis and monitoring of thyroid disease
Specimen Requirements
If possible, inform patients to stop taking Biotin (hair, nail) supplements 2-3 days before their lab draw.
Specimen Type: Serum
Collection Container/Tube:
Preferred: SST
Acceptable: Plain, red-top tube or SST
Specimen Volume: 2 mL
Pediatric (minimum) volume: 0.5 mL
Specimen Stability
Specimen Type | Temperature | Stability |
Plasma or Serum | Ambient | 4 hours |
Refrigerated (preferred) | 7 days | |
Frozen | 4 weeks |
Reference Values
- TSH: 0.465 - 4.68 mIU/L
- T4, Free: 0.78 - 2.19 ng/mL
Please refer to Mayo's Thyroid Function Ordering Algorithm for additional ordering information.
http://mayomedicallaboratories.com/it-mmfiles/Thyroid_Function_Ordering_Algorithm.pdf
Day(s) Test Set Up
Monday through Sunday
Performing Laboratory
Ridgeview Medical Center Laboratory (TSH and T4 Reflex)
Two Twelve Medical Center Laboratory (TSH Only)
Ridgeview Sibley Medical Center Laboratory (TSH Only)
Ridgeview Le Sueur Medical Center Laboratory (TSH Only)
Methodology
Includes TSH Thyroid-Stimulating Hormone (TSH), Plasma or Serum. If TSH is abnormal, then FT4 (Thyroxine), Free, Serum will be ordered and performed at an additional charge.
Immunometric
Test Classification and CPT Coding
84443 - TSH
84439 - T4, free (if appropriate)