Test Code TSH3GR TSH with Free T4 Reflexive, LAB5113
Performing Laboratory
St. Luke's Hospital Cedar Rapids
Specimen Requirements
Container/Tube:
Preferred: Green-top (lithium heparin) tube
Acceptable: EDTA lavender(see note), Gold-top serum gel tube or plain, red-top tube
Note: No studies have been performed on unseparated whole blood stability. Do not recommend adding testing onto unseparated plasma or serum.
Minimum Specimen Volume: 30 µL plus dead volume
Stability for TSH: Separated samples stored at 2 – 8°C are stable 14 days, 8 days at 20‑25 °C, and
24 months at ‑20 °C (± 5 °C). Freeze only once.
Stability for Free T4: Separated samples stored at 2 – 8°C are stable 7 days,58 days at 20‑25 °C, and 30 days at ‑20 °C (± 5 °C). Freeze only once.
Reference Values
Will reflex to Free, T4 if TSH is <0.270 or >4.200 u[IU]/mL
Day(s) Test Set Up
Monday through Sunday
Useful For
Thyroid Function
Methodology
Chemiluminescence Sandwich Assay
Test Classification and CPT Coding
84443
84439
Anayltic Time
STAT within 1 hour of receipt
ROUTINE within 2 hours of receipt