Test Code THCAS THYROID CASCADE
Additional Codes
LAB2103
Performing Laboratory
Porter Hospital Laboratory
Specimen Requirements
Specimen Type: Blood
Container/Tube: Tiger top, serum gel
Specimen Volume: Full tube, submit 1.5 mL serum
Specimen Minimum Volume: 0.75 mL for full cascade
Collection Instructions:
1. Send specimen in original tube.
2. If there is a delay in transport of >1 hour, centrifuge tube.
3. Centrifuged samples are stable for:
• 1 day at room temperature
• 7 days at 2 – 8ºC
Specimen Transport Temperature
Refrigerated
Day(s) Performed
Daily
Test Classification and CPT Coding
TSH 84443
FT4 84439
T3 84480
Medical Necessity
Test subject to Medicare National Coverage Determination (NCD).
See Medical Necessity documentation requirements by clicking on menu item on left entitled: Resources
Normal Reference Values
See each component.
Critical Values
None