Thyroxine, Free by Equilibrium Dialysis
Label Mnemonic: FT4D
Epic code: LAB3177
Commercial Mailout Laboratory
6240-8 RCP
356-8593
Specimen(s):
Serum
Specimen Instructions:
Separate from cells or gel ASAP or within 2 hours of collection.
Collection Medium:
Red top tube 5 mL (Clot Activator)
Minimum:
Preferred Minimum: 2 mL serum
Absolute Minimum: 0.3 mL serum
Rejection Criteria:
Serum separator tubes and gels.
Turn Around Time:
2-5 days upon receipt at reference laboratory
Reference Range:
                         Free Thyroxine ng/dL
          Age                   Female            Male 
25-30 weeks gestation:      0.5-3.3 ng/dL    0.5-3.3 ng/dL 
31-36 weeks gestation:      1.3-4.7 ng/dL    1.3-4.7 ng/dL 
Birth to 1 week:            2.2-5.3 ng/dL    2.2-5.3 ng/dL 
2-3 weeks:                  0.9-4.0 ng/dL    0.9-4.0 ng/dL 
1-5 months:                 1.1-2.2 ng/dL    1.1-2.2 ng/dL 
6 months- 6 years:          1.4-2.7 ng/dL    1.4-2.7 ng/dL 
7 years- 17 years:          1.1-2.0 ng/dL    1.1-2.0 ng/dL 
18 years and older:         1.1-2.4 ng/dL    1.1-2.4 ng/dL 
Pregnancy, 1st Trimester    0.7-2.0 ng/dL  
Pregnancy, 2nd Trimester    0.7-2.1 ng/dL  
Pregnancy, 3rd Trimester    0.5-1.6 ng/dL
Methodology:
Quantitative Equilibrium Dialysis/High Performance Liquid Chromatography-Tandem Mass Spectrometry
CPT Code:
84439