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Test Code MISCLM Free Thyroxine Index (FTI), Serum

Additional Codes

MAYO Test ID
FRTUP
EPIC Test ID
LAB2608

 

Useful For

Estimating the amount of circulating free thyroxine (free thyroxine index) using the total thyroxine and thyroid binding capacity (T-uptake)

Profile Information

Test ID Reporting Name Available Separately Always Performed
TUPC Thyroxine Binding Capacity, S No Yes
T4S Thyroxine, Total, S Yes, (order T4) Yes
FRTI Free Thyroxine Index No Yes

Reporting Name

Free Thyroxine Index(FTI), S

Specimen Type

Serum


Specimen Required


Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Specimen Volume: 1 mL

Additional Information: 12 hours before this blood test do not take multivitamins or dietary supplements containing biotin or vitamin B7, which are commonly found in hair, skin, and nail supplements and multivitamins.


Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum Refrigerated (preferred) 7 days
  Frozen  30 days
  Ambient  72 hours

Reject Due To

Hemolysis

Mild OK; Gross OK

Lipemia

Mild OK; Gross OK

Icterus

Mild OK; Gross OK

Other

NA

Reference Values

Thyroxine Binding Capacity (units are in Thyroxine Binding Index [TBI]):

0-19 years: 0.8-1.2 TBI

≥20 years: 0.8-1.3 TBI

 

T4 Total (T4):

0-5 days: 5.0-18.5 mcg/dL

6 days-2 months: 5.4-17.0 mcg/dL

3-11 months: 5.7-16.0 mcg/dL

1-5 years: 6.0-14.7 mcg/dL

6-10 years: 6.0-13.8 mcg/dL

11-19 years: 5.9-13.2 mcg/dL

≥20 years: 4.5-11.7 mcg/dL

 

Free Thyroxine Index:

0-5 days: 5.1-20.8 mcg/dL

6 days-2 months: 5.5-18.0 mcg/dL

3-11 months: 5.7-16.8 mcg/dL

1-5 years: 5.9-15.0 mcg/dL

6-10 years: 6.0-13.9 mcg/dL

11-19 years: 5.9-13.2 mcg/dL

≥20 years: 4.8-12.7 mcg/dL

Day(s) and Time(s) Performed

Monday through Sunday; Continuously

Analytic Time

Same day/1 day

Performing Laboratory

Mayo Medical Laboratories in Rochester

Test Classification

This test has been cleared or approved by the U.S. Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

84479-Thyroxine binding capacity(TUP)

84436-Thyroxine total (T4S)

LOINC Code Information

Test ID Test Order Name Order LOINC Value
FRTUP Free Thyroxine Index(FTI), S 32215-6

 

Result ID Test Result Name Result LOINC Value
T4S Thyroxine, Total, S 3026-2
TUPC Thyroxine Binding Capacity, S 74795-6
FRTI Free Thyroxine Index 32215-6

Method Name

Electrochemiluminescence Immunoassay