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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