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Test Code FRT4D T4 (Thyroxine), Free by Dialysis, Serum

Additional Codes

MLAB: YBU

Powerchart:

Epic:

MA Cerner: T4 (Thyroxine), Free by Dialysis, Serum

Reporting Name

T4 (Thyroxine), Free by Dialysis, S

Useful For

Determining thyroid status of sick, hospitalized patients

 

Used where abnormal binding proteins are known to exist

 

Possibly useful in pediatric patients

Performing Laboratory

Mayo Medical Laboratories in Rochester

Specimen Type

Serum


Specimen Required


Container/Tube:

Preferred: Red top

Acceptable: Serum gel

Specimen Volume: 2.6 mL

Collection Instructions: Serum must be separated from gel within 4 to 6 hours of draw.

Additional Information: Include name and telephone number of contact physician.


Specimen Minimum Volume

1.2 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum Refrigerated (preferred) 28 days
  Frozen  21 days
  Ambient  7 days

Reference Values

0.8-2.0 ng/dL

Reference values apply to all ages.

Day(s) and Time(s) Performed

Monday, Wednesday, Thursday; 3 p.m.

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.

CPT Code Information

84439 

United Clinical Laboratories Test Catalog Note:

 

Testing may be covered up to tow times a year in clinically stable patients; more frequent testing may be reasonable and necessary for patients whose thyroid therapy has been altered or in whom symptoms or signs of hyper or hypothyroidism are noted.

LOINC Code Information

Test ID Test Order Name Order LOINC Value
FRT4D T4 (Thyroxine), Free by Dialysis, S 6892-4

 

Result ID Test Result Name Result LOINC Value
8859 T4 (Thyroxine), Free by Dialysis, S 6892-4

Reject Due To

Hemolysis

Mild OK; Gross reject

Lipemia

Mild OK; Gross reject

Icterus

Mild OK; Gross OK

Other

NA

Method Name

Equilibrium Dialysis/Tandem Mass Spectrometry (MS/MS)

Secondary ID

8859