Epic Code LAB126 T4 (Thyroxine), Total, Blood Level
Test Name Alias
T4 Total | 724
Interface Order Alias
11084
Ordering Instructions
Please keep in mind, biochemical thyroid function evaluation should begin with the Thyroid Function Cascade (SH#6701)
Collection Instructions
Specimen Collection: Blood
Container(s): 4.5 mL Mint Green Top (Lithium Heparin Gel) or 5.0 mL Gold Top (Serum Separator-SST Gel)
Preferred Volume to Collect: 4.5 mL
Minimum Volume to Collect: 1.0 mL
Neonate Volume to Collect: 0.5 mL
Capillary collect ok? Yes
Microtainer acceptable: Yes
Collection Instructions:
- After collection, gently invert tube 8-10 times.
- Specimen should be processed within 2 hours – See Processing Instructions.
Processing Instructions (Laboratory, Outpatient or Off-site collection)
Processed Specimen: Plasma or Serum
Centrifuge/Spin: Yes
Aliquot: Yes
Processing Instructions:
- Plasma is preferred specimen type
- Green Tube/Plasma: Centrifuge after collection.
- Gold Tube/Serum: Allow blood to clot for 30 minutes in a vertical position and centrifuge within 2 hours.
Transport Temperature: Refrigerate
Specimen Stability
Ambient: 8 hours
Refrigerate: 72 hours
Frozen: aliquot plasma/serum for longer storage
Laboratory Retention: 72 hours
Test Frequency
Available daily, usual TAT 1 day.
Reference Range
5.1 – 14.1 mcg/dL
Performing Department
CHEMISTRY
Performing Department Laboratory Location
Spectrum Health Regional Laboratory, Grand Rapids, MI
Methodology
Electrochemiluminescence Immunoassay (ECLIA)
CPT
84436-LAB-THYROXINE TOTAL
CDM Code
4059013
Epic Test ID
1230101198
LOINC
Total T4: 3026-2
Beaker LOINC
LIPEMIA INDEX, SERUM:
N/A
TOTAL THYROXINE: 3026-2
Mayo Access Code
SHO724
Reviewed Date
3/5/2020
Beaker Names
Beaker Procedure Name: T4, TOTAL
Beaker Display Name: T4 (Thyroxine), Total, Blood
Level
BEAKER TEST NAME: T4
TOTAL
BEAKER TEST REPORT NAME: T4 Total
Beaker Synonyms
No synonym on file
Beaker Location, Container and Temperature
BW CHEMISTRY:
GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
BW CHEMISTRY:
GOLD TOP
SST TUBE R
(Acceptable)-Refrigerated