Thyroid CA Monitoring 90814

Test Code
THYCANCER


Alias/See Also
THYCANCER


CPT Codes
86800;84432

Includes
If Thyroglobulin Ab is negative then Thyroglobulin is tested on Beckmen Coulter. If Thyroglobulin Ab is positive then Thyroglobulin is tested by LC/MS/MS


Preferred Specimen
3 mL serum


Minimum Volume
1


Instructions
Draw SST and send at room temperature


Transport Container
SST


Transport Temperature
T


Specimen Stability
Room temperature: 6 days
Refrigerated: 7 days
Frozen: 28 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis • Lipemia • Plasma • Icteric


Methodology
Immunoenzymatic

Setup Schedule
Set up: Sun, Tues-Sat; Report available: 7-8 days


Reference Range
Thyroglobulin Antibody ≤1 IU/mL
  Thyroglobulin Athyrotic: <0.1 ng/mL
  Thyroglobulin, LC/MS/MS Athyrotic: <0.4 ng/mL


Clinical Significance
Thyroglobulin measurements are most useful in the postoperative monitoring of patients with papillary, follicular, and Hurthle cell carcinomas. However, approximately 20% of individuals develop autoantibodies to thyroglobulin. Since these antibodies interfere with immunoassay measurement of thyroglobulin, it is necessary to determine the presence or absence of antibodies before measuring thyroglobulin. This panel provides a sensitive method for determination of thyroglobulin autoantibodies, with subsequent measurement of thyroglobulin by either a sensitive immunoassay (Tg Ab negative samples) or LCMSMS (Tg Ab positive samples). The mass spectrometry assay has no interference from autoantibodies.


Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153




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.