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Test Code LAB127 Free T4 (Free Thyroxine)

Performing Laboratory

Asante Rogue Regional Medical Center / Asante Three Rivers Medical Center / Ashland Community Hospital

Specimen Minimum Volume

0.5 ml

Billing Code

2070589

Methodology

Chemiluminescence (CLIA)

Specimen Requirements

Yellow (Gold) top tube (SST)  

Lithium Heparin Green top tube

Plain Red top tube

 

Outpatient clients MUST draw SST

Reasons for Rejection

Hemolysis

Quantity not sufficient (QNS)

Lack of Two Patient Identifiers:

         1-Patient's First & Last name 

         2-Patient's Date of Birth

Day(s) Test Set Up

Monday through Sunday

Routine – same day

ASAP – 2 hours after receipt of specimen in lab

STAT – 1 hour after receipt of specimen in lab

Test Classification and CPT Coding

84439  -  Thyroxine; free

Additional Information

Free Thyroxine (FT4) is the metabolically active form of Thyroxine (T4).  FT4 is superior to Total T4 due to the lack
of interference from thyroid binding globulins.  It is elevated in hyperthyroidism (Thyrotoxicosis, Graves Disease) and decreased in hypothyroidism.

Specimen Transport Temperature and Stability

Centrifuge collection tube and refrigerate within 2 hours of collection

Primary tube: Spun SST stable 24 hours at  2° to 8° C

Serum stable 48 hours if aliquoted and refrigerated at 2° to 8° C

Performing Department

Chemistry