NOTE: This order is impacted by the instrument changes occurring at IU Health, please refer to additional notes within order details for possible impact.
Collect
Blood, Orange
Preferred Draw Volume
3 mL
Minimum Draw Volume
0.8 mL
Other Acceptable Containers
Gold, Lt Green
Pediatric Collection
2 microtainers
Unacceptable Conditions
Samples thawed more than once. TSH-No hemolysis.
Collection Comments
Invert tube 5-6 times to mix blood. Spin for 10 minutes at 1100-1300 g in a swing bucket unit or 15 minutes in a fixed angle. Remember to label aliquot with patient name, DOB, test and collect date. Ship spun Orange, Lt Green or Gold tube refrigerated.
TSH ( thyroid-stimulating hormone or thyrotropin) is a protein hormone produced by the anterior pituitary gland. The TSH test is frequently the initial test ordered in the evaluation of thyroid function. The TSH test may be ordered when the physician suspects either hyper- or hypothyroidism. In this reflex test, if TSH result is below or above the reference range, a Free T4 will automatically be added on.
Performed
Monday - Sunday; Days, Evenings, Nights
Methodology
Chemiluminescence
Reported
2-4 days
Performing Lab
Chemistry
Other Performing Labs
Arnett, Ball, Bedford, Bloomington, Fishers, Frankfort, Jay County, Methodist 3E, Morgan, North, Paoli, Tipton, West and White Chemistry
Synonyms
10078
TSH with Free T4 Reflex
Reference Interval
TSH 0.4 - 4.2 mcU/mL Free T4 0.6 - 1.5 ng/dL
NOTE:If performed at White Memorial, Arnett, Frankfort, Tipton, North, Schwarz, West, Fishers, Paoli or Morgan laboratories:
TSH 3rd Generation SerPl QN
Age
Range (mcU/mL)
0-1 month
1.23-27.2
1 month - 1 year
1.03-6.8
1-15 years
1.12-5.01
15-19 years
0.68-4.09
19-150 years
0.27-4.2
CPT Codes
84443; 84439 if reflexed
LOINC Codes
NAME
LOINC
Order
TSH 3rd Generation w T4 Free Direct Rflx
24348-5
Result
TSH 3rd Gen SerPl QN
11580-8
Test Code (Outreach Synonym)
10078
Catalog Code
3433753735
Collection
Test Information
NOTE: This order is impacted by the instrument changes occurring at IU Health, please refer to additional notes within order details for possible impact.
Collect
Blood, Orange
Preferred Draw Volume
3 mL
Minimum Draw Volume
0.8 mL
Other Acceptable Containers
Gold, Lt Green
Pediatric Collection
2 microtainers
Unacceptable Conditions
Samples thawed more than once. TSH-No hemolysis.
Collection Comments
Invert tube 5-6 times to mix blood. Spin for 10 minutes at 1100-1300 g in a swing bucket unit or 15 minutes in a fixed angle. Remember to label aliquot with patient name, DOB, test and collect date. Ship spun Orange, Lt Green or Gold tube refrigerated.
TSH ( thyroid-stimulating hormone or thyrotropin) is a protein hormone produced by the anterior pituitary gland. The TSH test is frequently the initial test ordered in the evaluation of thyroid function. The TSH test may be ordered when the physician suspects either hyper- or hypothyroidism. In this reflex test, if TSH result is below or above the reference range, a Free T4 will automatically be added on.
Performed
Monday - Sunday; Days, Evenings, Nights
Methodology
Chemiluminescence
Reported
2-4 days
Performing Lab
Chemistry
Other Performing Labs
Arnett, Ball, Bedford, Bloomington, Fishers, Frankfort, Jay County, Methodist 3E, Morgan, North, Paoli, Tipton, West and White Chemistry
Synonyms
10078
TSH with Free T4 Reflex
Result Interpretation
Reference Interval
TSH 0.4 - 4.2 mcU/mL Free T4 0.6 - 1.5 ng/dL
NOTE:If performed at White Memorial, Arnett, Frankfort, Tipton, North, Schwarz, West, Fishers, Paoli or Morgan laboratories:
