Total T3

Test Code
TT3


Alias/See Also
T3S T3 Triiodothyroxine
 


CPT Codes
84480

Preferred Specimen
1.0 mL collected in a SST (serum seprator-gold top tube)


Minimum Volume
0.5 mL


Other Acceptable Specimens
Plasma - Li Heparin (PST)
Plasma- Na Heparin
Plasma –EDTA (Lavender)
Gold top (SST)
Tiger top (SST)
Red top


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 8 days at 20-24ºC
Refrigerated: 14 days at 2-8°C
Frozen: 12 months at ­20°C, Freeze only once.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Samples not labeled with complete first and last name and date of birth.
Grossly hemolyzed.


Methodology
Electrochemiluminescence immunoassay

Setup Schedule
Sun - Sat


Report Available
Daily


Reference Range
0.80 – 2.00 ng/mL


Clinical Significance
Triiodothyronine (T3) is the hormone principally responsible for the development of the effects of the thyroid hormones on the various target organs. T3 (3,5,3'-triiodothyronine) is mainly formed extrathyroidally, particularly in the liver, by enzymatic 5'-deiodination of T4. Accordingly, the T3 concentration in serum is more a reflection of the functional state of the peripheral tissue than the secretory performance of the thyroid gland. A reduction in the conversion of T4 to T3 results in a decrease in the T3 concentration. It occurs under the influence of medicaments such as propanolol, glucocorticoids or amiodarone and in severe non-thyroidal illness (NTI), and is referred to as “low T3 syndrome”. As with T4, over 99 % of T3 is bound to transport proteins. However, the affinity of T3 to them is around 10-fold lower.
The determination of T3 is utilized in the diagnosis of T3-hyperthyroidism, the detection of early stages of hyperthyroidism and for indicating a diagnosis of thyrotoxicosis factitia.


Performing Laboratory
Frederick Health Laboratory
400 W 7th Street
Frederick, MD  21701
 


Last Updated: September 27, 2023


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.