TSH with Rflx to FRT4 (PRISMA HEALTH)

Test Code
1230700027


Alias/See Also
LAB4016: TSH with Reflex FT4 | TSHREF


CPT Codes
84443x1

Preferred Specimen
GMH HOSPITAL LAB: LIME TOP- LIHEP (Refrigerated) Min Vol: .1
PMH HOSPITAL LAB: LIME TOP- LIHEP (Refrigerated) Min Vol: .1
OMH HOSPITAL LAB: LIME TOP- LIHEP (Refrigerated) Min Vol: .1
BEH HOSPITAL LAB: LIME TOP- LIHEP (Refrigerated) Min Vol: .1
GRMH HOSPITAL LAB: LIME TOP- LIHEP (Refrigerated) Min Vol: .1
HMH HOSPITAL LAB: LIME TOP- LIHEP (Refrigerated) Min Vol: .1
LCMH HOSPITAL LAB: LIME TOP- LIHEP (Refrigerated) Min Vol: .1
RHC HOSPITAL LAB CENTRAL: LIME TOP- LIHEP (Refrigerated) Min Vol: .1
BCH HOSPITAL LAB: LIME TOP- LIHEP (Refrigerated) Min Vol: .5
BPH HOSPITAL LAB: LIME TOP- LIHEP (Refrigerated) Min Vol: .5
THL HOSPITAL LAB: LIME TOP- LIHEP (Refrigerated) Min Vol: .1


Other Acceptable Specimens
GMH HOSPITAL LAB: YELLOW TOP: (Refrigerated) Min Vol: .1; MICRO LIME: (Refrigerated) Min Vol: .1; MICRO YELLOW: (Refrigerated) Min Vol: .1; LITHIUM HEP ALIQUOT: (Refrigerated) Min Vol: .1; SST ALIQUOT: (Refrigerated) Min Vol: .1
PMH HOSPITAL LAB: YELLOW TOP: (Refrigerated) Min Vol: .1; MICRO LIME: (Refrigerated) Min Vol: .1; MICRO YELLOW: (Refrigerated) Min Vol: .1; LITHIUM HEP ALIQUOT: (Refrigerated) Min Vol: .1; SST ALIQUOT: (Refrigerated) Min Vol: .1
OMH HOSPITAL LAB: YELLOW TOP: (Refrigerated) Min Vol: .1; MICRO LIME: (Refrigerated) Min Vol: .1; MICRO YELLOW: (Refrigerated) Min Vol: .1; LITHIUM HEP ALIQUOT: (Refrigerated) Min Vol: .1; SST ALIQUOT: (Refrigerated) Min Vol: .1
BEH HOSPITAL LAB: YELLOW TOP: (Refrigerated) Min Vol: .1; MICRO LIME: (Refrigerated) Min Vol: .1; MICRO YELLOW: (Refrigerated) Min Vol: .1; LITHIUM HEP ALIQUOT: (Refrigerated) Min Vol: .1; SST ALIQUOT: (Refrigerated) Min Vol: .1
GRMH HOSPITAL LAB: YELLOW TOP: (Refrigerated) Min Vol: .1; MICRO LIME: (Refrigerated) Min Vol: .1; MICRO YELLOW: (Refrigerated) Min Vol: .1; LITHIUM HEP ALIQUOT: (Refrigerated) Min Vol: .1; SST ALIQUOT: (Refrigerated) Min Vol: .1
HMH HOSPITAL LAB: YELLOW TOP: (Refrigerated) Min Vol: .1; MICRO LIME: (Refrigerated) Min Vol: .1; MICRO YELLOW: (Refrigerated) Min Vol: .1; LITHIUM HEP ALIQUOT: (Refrigerated) Min Vol: .1; SST ALIQUOT: (Refrigerated) Min Vol: .1
LCMH HOSPITAL LAB: YELLOW TOP: (Refrigerated) Min Vol: .1; MICRO LIME: (Refrigerated) Min Vol: .1; MICRO YELLOW: (Refrigerated) Min Vol: .1; LITHIUM HEP ALIQUOT: (Refrigerated) Min Vol: .1; SST ALIQUOT: (Refrigerated) Min Vol: .1
RHC HOSPITAL LAB CENTRAL: YELLOW TOP: (Refrigerated) Min Vol: .1; MICRO LIME: (Refrigerated) Min Vol: .1; MICRO YELLOW: (Refrigerated) Min Vol: .1
BCH HOSPITAL LAB: YELLOW TOP: (Refrigerated) Min Vol: .1; MICRO LIME: (Refrigerated) Min Vol: .1; MICRO YELLOW: (Refrigerated) Min Vol: .1
BPH HOSPITAL LAB: YELLOW TOP: (Refrigerated) Min Vol: .1; MICRO LIME: (Refrigerated) Min Vol: .1; MICRO YELLOW: (Refrigerated) Min Vol: .1
THL HOSPITAL LAB: YELLOW TOP: (Refrigerated) Min Vol: .1; MICRO LIME: (Refrigerated) Min Vol: .1; MICRO YELLOW: (Refrigerated) Min Vol: .1


Instructions
Adult: Minimum 2.5 mL blood *Pediatric minimum: 1 full microtainer*


Transport Temperature
Lab Only: It is recommended that tubes of blood are to be kept closed at all times and in a vertical position. It is required that the serum or plasma be physically separated from contact with cells within two hours from the time of collection. Analyze fresh specimens, if possible. If testing will be delayed more than 24 hours, remove plasma or serum from the red blood cells, clot or separator gel. Specimens removed from the red blood cells, clot or separator gel may be stored at 2 to 8°C for up to 7 days and frozen at -20°C for up to 1 year. Stored specimens must be inspected for particulates. If present, mix and centrifuge the specimen to remove particulates prior to testing. Multiple freeze-thaw cycles of specimens should be avoided. Specimens must be mixed THOROUGHLY after thawing, by LOW speed vortexing or by gently inverting, and centrifuged prior to use to removered blood cells or particulate matter to ensure consistency in the results.


Report Available
GMH HOSPITAL LAB
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min



Last Updated: February 20, 2024


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.