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Test Code LAB127 T4, FREE

Important Note

Test subject to Medicare National Coverage Determination (NCD) 190.22 - Thyroid Testing.

Additional Codes

Epic Code Atlas Code Mayo Access ID Order LOINC Legacy Code
LAB127 FRET4 FAH5788 3024-7 FRET4

 

Specimen Information

Container Specimen Temperature Collect Vol Submit Vol Min Vol Stability
SST Serum Refrigerate 4 mL 0.5 mL 0.2 mL 7 days

*While a yellow microtainer is an optional tube type in rare circumstances, it is not recommended.

Test Schedule / Analytical Time / Test Priority

Daily / Same day / Available STAT

Method

Chemiluminescence Immunoassay

CPT(s)

Description CPT Code
T4, Free 84439

 

Instrumentation

Ortho Vitros 5600

Reference Range

Age Sex Low High Units
0 - 15 days All 1.0 4.1 ng/dL
15 days - 1 month All 0.8 2.3 ng/dL
1 month - 4 months All 0.8 1.8 ng/dL
4 months - 1 year All 0.8 1.7 ng/dL
1 year - 18 years All 0.8 1.4 ng/dL
≥18 years All 0.8 2.2 ng/dL

 

Section

Chemistry-1

Performing Location

University of Vermont Medical Center

Is the UVMMC lab NY State Certified to perform this testing?  Yes/No

Yes

Result Component(s)

Reporting Name Epic Code Atlas Code Mayo Access ID LOINC
T4, Free   FRET4   3024-7