Hypothyroid Panel

Test Code
LAB6037


Alias/See Also
HYPOT; Thyroid screen; ATA Recommended Thyroid Panel


CPT Codes
84439, 84443

Includes
FT4, TSH


Instructions
"Routine venipuncture
Collect one 5ml Red/gold top serum separator tube"


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis, failure to follow proper collection or storage procedures


Setup Schedule
Daily


Report Available
Within 24 hours


Reference Range
"



Test


Age


Reference Range


Units




Free T4


0 – 10 days


0.60-2.00


ng/dL




Free T4


11 days – 20 years


0.78-2.49


ng/dL




Free T4


21 years – 40 years


0.79-2.35


ng/dL




Free T4


41 years – 60 years


0.64-1.79


ng/dL




Free T4


61 years – 80 years


0.78-2.44


ng/dL




Free T4


Greater than 80 years


0.85-1.93


ng/dL




TSH


0 – 6 days


2.500-13.300


mIU/mL




TSH


1 – 4 weeks


0.600-10.000


mIU/mL




TSH


5 weeks – 15 years


0.600-6.300


mIU/mL




TSH


16 years to adult


0.465-4.680


mIU/mL



"


Additional Information
NCD-ABN Thyroid Testing


The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.