TSI (Thyroid Stimulating Immunoglobulin)

Message
This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test.

SRHC Clients:
  • 1 yellow top tube or 1 red top tube
  • Store and transport  serum refrigerated
  • Transport to SRHC laboratory same day as collected
  • Room temperature unacceptable


Test Code
LAB746


Quest Code
30551


Alias/See Also

EPIC: LAB746
TSI
Thyroid Receptor Antibody
Thyroid Stimulating Immunoglobulin




CPT Codes
84445

Preferred Specimen
1 mL serum


Minimum Volume
0.2 mL


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: Unacceptable
Refrigerated: 21 days
Frozen: 60 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Grossly lipemic • Grossly icteric • Plasma


Methodology
In Vitro Bioassay

Setup Schedule
Set up: Mon-Sat; Report available: 3-5 days


Reference Range
<140 % Baseline


Clinical Significance
Graves' disease is a classic form of hyperthyroid disease, affecting approximately 0.4% of the population of the United States. It is caused by IgG immunoglobulins, collectively known as thyroid stimulating immunoglobulins (TSI). Patients who are candidates for antithyroid drug therapy may not respond to this treatment when TSI levels are markedly elevated. The determination of TSI can also assist in predicting hyperthyroidism in neonates, due to placental transmission of the immunoglobulins from a mother with hyperthyroidism.


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.