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t4, free (includes t4) (esoterix)
Synonyms: Free Thyroxine 
Computer Code: (RTFT4)
Specimen Collection: 4 mL blood (red or gold top tube). 
Minimum Volume: 1 mL 
Handling Instructions for Offsite Areas: Allow to clot, centrifuge for 20 minutes, remove serum, freeze. Min .4 mL serum. Separate serum from cells within 45 minutes of collection. 
Reference Values: See reference laboratory report.  
Lab Code: CC REF 
Requisition: SPEC C
Test Frequency: NA 
Routine TAT: 10 days 
Stat TAT: NA 
CPT Code(s): 84436, 84439 
LCD or NCD:  
Methodology Used: R
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 11/21/2014
Time: 14:10:09 (24hr)