Test Directory

Test Code
TSHHT
Test Name
Thyroid Stimulating Hormone with HAMA Treatment
CPT Codes
84443 X 2
Included Tests
  • TSH with HAMA Treatment
  • TSH without HAMA Treatment
Expected Turnaround Time
3 - 4 days
Clinical Utility
Precision in the estimation of TSH is crucial to the follow-up of subjects with thyroid disorders. The preincubation of samples to remove HAMA immunoglobulins provides a way to ensure that an otherwise unsuspected rise or drop in TSH concentration will not be interpreted as either a false positive or false negative.
Specimen and Container Info

Specimen Type: Serum

  

Collection Container: Red Top, Plain

Alternate Collection Container: Gold Top, Serum Separator

Desired Specimen Volume: 2 mL

Collection Instructions
  1. Collect a red top, plain tube via venipuncture.
Processing and Submission Instructions
  1. Separate serum from cells.
  2. Transfer 2 mL of serum to a clear aliquot tube (screw cap).
Patient Preparation

Specimen collection after fluorescein dye angiography should be delayed for at least 3 days. For patients on hemodialysis, specimen collection should be delayed for 2 weeks after angiography.

Transport Instructions

Transport to the laboratory refrigerated. 

Stability Requirements

Room Temperature

7 days

Refrigerated

7 days

Frozen

28 days

Methodology
Immunoassay
Reference Intervals

See patient report.

Limitations

According to the assay manufacturer Siemens: samples containing fluorescein can produce falsely depressed values.

Reference Lab
Quest Diagnostics Nichols Institute
Testing Schedule
Routine, 6 times per week