Test Code TSH Thyroid-Stimulating Hormone (TSH), Plasma or Serum
Performing Laboratory
MaineGeneral Medical Center
Reference Values
Adults: >20 years: 0.360-3.740 mIU/mL
13-20 years: 0.463-4.130 mIU/mL
2-12 years: 0.662-4.010 mIU/mL
Infants less than24 months 0.816-6.430 mIU/mL
Critical value (automatic call-back): >100 mIU/L
Specimen Requirements
Submit only 1 of the following specimens:
Preferred: Plasma
Draw blood in a green-top (lithium heparin) tube(s). For pediatric specimen, draw blood in a green-top (lithium heparin) MICROTAINER(S)®. (Moderately hemolyzed specimen is not acceptable.) Spin down and send 1 mL of lithium heparin plasma refrigerated.
Note: 1. Indicate plasma on request form.
2. Label specimen with patient’s name (first and last), date of birth, date and time of draw, phlebotomist’s initials, and as plasma.
Alternate: Serum
Draw blood in a serum gel tube(s). (Moderately hemolyzed specimen is not acceptable.) Spin down and send 1 mL of serum refrigerated.
Note: 1. Indicate serum on request form.
2. Label specimen with patient’s name (first and last), date of birth, date and time of draw, phlebotomist’s initials, and as serum.
Samples may be stored at 2-8C for up to two (2) days or freeze for longer storage.
Day(s) Test Set Up
Monday through Sunday
Test Classification and CPT Coding
84443
Methodology
3rd Generation Chemiluminescent Immunoassay