T4 (Thyroxine), Total Only, Plasma or Serum

Test Code
1214


CPT Codes
84436

Preferred Specimen


Submit only 1 of the following specimens:

Plasma
Container/Tube: Green-top (heparin) tube(s)
Specimen Volume: 3 mL (minimum volume: 0.5 mL) of plasma
Note: 1. Indicate plasma. 2. Label specimen appropriately (plasma).

Serum
Container/Tube: Serum gel tube(s)
Specimen Volume: 3 mL (minimum volume: 0.5 mL) of serum
Note: 1. Indicate serum. 2. Label specimen appropriately (serum).
 




Minimum Volume
Pediatric volume: 0.3 mL


Instructions
Venipuncture should occur prior to sulfasalazine administration due to the potential for falsely elevated results.


Transport Temperature
Refrigerate


Methodology
Immunoassay

Setup Schedule
Monday through Sunday


Reference Range
Males
0-3 days: 11.0-23.0 µg/dL
>3-30 days: 9.0-18.0 µg/dL
1-4 months: 7.5-16.5 µg/dL
>4 months-1 year: 5.5-14.5 µg/dL
>1-6 years: 5.5-13.5 µg/dL
>6-10 years: 5.4-10.6 µg/dL
>10 years: 4.5-12.1 µg/dL

Females
0-3 days: 11.0-23.0 µg/dL
>3-30 days: 9.0-18.0 µg/dL
1-4 months: 7.5-16.5 µg/dL
>4 months-1 year: 5.5-14.5 µg/dL
>1-6 years: 5.5-13.5 µg/dL
>6-10 years: 5.4-10.6 µg/dL
>10 years: 4.8-13.9 µg/dL


Performed By
CoxHealth



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.