T4 (Thyroxine), Free, Plasma or Serum

Test Code
Free T4/FT4 - NOCO


CPT Codes
84439

Preferred Specimen
1 mL plasma from Green top (Lithium Heparin)


Minimum Volume
0.5 mL
Note: For neonate requirements see Neonate Minimum Blood Volumes


Other Acceptable Specimens
1.0 mL serum from SST or Red Top


Specimen Stability
Specimen Type Temperature Time
Serum SST Refrigerated 7 days
Red Top – Separated* Refrigerated 7 days
Plasma Li Hep Refrigerated 7 days
 
*Centrifuge and aliquot into a plastic vial.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis, Collection after IV contrast material


Methodology
Chemiluminescence

Setup Schedule
Monday through Sunday; Continuously


Report Available
Same day


Reference Range
0 - 31 days: 0.8 - 2.2 ng/mL
31 days - 7 months: 0.8 - 1.8 ng/mL
7 months - 1 year: 0.8 1.6 ng/mL
1 - 7 years: 0.9 - 1.4 ng/mL
7 - 12 years: 0.9 - 1.6 ng/mL
12-18 years: 0.90-1.50 ng/mL
18-150 years: 0.80-1.70 ng/mL


Performing Laboratory
Banner Fort Collins Medical Center Laboratory
Mckee Medical Center Laboratory
North Colorado Medical Center Laboratory
Summit View Laboratory



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.