|Test||TSH WITH FREE T4 REFLEX|
|Methodology||Electrochemiluminescence Immunoassay (ECLIA)|
|Description||A Free T4 will reflex if the TSH result is < 0.27µIU/mL or > 4.20 µIU/mL
Useful for the differential diagnosis of primary (thyroid) from secondary (pituitary) and tertiary (hypothalamus) hypothyroidism; aiding in the diagnosis of primary hyperthyroidism; monitoring patients on thyroid replacement therapy.
No sample should be collected on patients receiving therapy with high biotin doses(i.e. biotin therapy for Multiple Sclerosis or oncology patients; skin, hair and nail supplements, or multivitamins containing > 5 mg/day) until at least 12 hours after the last biotin administration. If unsure, or if the clinical picture does not fit the results please contact the laboratory . We have methods to check for biotin interference as well as for any other interferences and for the accuracy of the results.
NOTE: This test, when ordered on Medicare patients, is subject to the National Coverage Determination (NCD) policy "Thyroid Testing". Please verify that the diagnosis code (ICD-9) you have chosen demonstrates medical necessity for the test as documented in the physician's patient record. The CMS web site or the NorDx Limited Coverage Documentation Guide are available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD-9 code chosen.
|Specimen||Draw blood in either a plain, red-top tube or serum gel tube. Spin down and send 1.0 mL (minimum volume: 0.5 mL) of serum refrigerated.|
0.27 - 4.20 µlU/mL
|Analytic Time||1 Day|
|Day(s) Test Set Up||Monday through Sunday|
84439 Free T4 (if appropriate)