TSI (Thyroid Stimulating Immunoglobulin)
Test Summary
Graves' disease is a classic form of hyperthyroid disease, affecting approximately 0.4% of the population of the United States. It is caused by IgG immunoglobulins, collectively known as thyroid stimulating immunoglobulins (TSI). Patients who are candidates for antithyroid drug therapy may not respond to this treatment when TSI levels are markedly elevated. The determination of TSI can also assist in predicting hyperthyroidism in neonates, due to placental transmission of the immunoglobulins from a mother with hyperthyroidism.
Aliases
- TSIG
Specimen Collection
Special Instructions
N/A
Preferred Specimen
1 mL serum
Minimum Volume
0.2 mL
Instructions
N/A
Patient Preparation
N/A
Storage
N/A
Transport Temperature
Refrigerated (cold packs)
Specimen Stability
- Room temperature: Unacceptable
- Refrigerated: 21 days
- Frozen: 60 days
Limitations
N/A
Other Acceptable Specimens
N/A
Unacceptable Specimens
Gross hemolysis • Grossly lipemic • Grossly icteric • Plasma
Order Code
THYSI
EPIC (Premier) Code
LAB735
Includes
N/A
CPT Code
- 84445
Billing Code
- 700000
CPT Statement
Methodology
In Vitro Bioassay
FDA Status
FDA Approved
Physician Attestation of Informed Consent
N/A
Testing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly VA, 20153
14225 Newbrook Drive
Chantilly VA, 20153
Reference Range
<140 % Baseline
Setup Schedule / Expected Turnaround Time
Monday - Saturday; Report available: 3 - 5 days
Specimen Collection
Special Instructions
N/A
Preferred Specimen
1 mL serum
Minimum Volume
0.2 mL
Instructions
N/A
Patient Preparation
N/A
Storage
N/A
Transport Temperature
Refrigerated (cold packs)
Specimen Stability
- Room temperature: Unacceptable
- Refrigerated: 21 days
- Frozen: 60 days
Limitations
N/A
Other Acceptable Specimens
N/A
Unacceptable Specimens
Gross hemolysis • Grossly lipemic • Grossly icteric • Plasma
Result Information
Methodology
In Vitro Bioassay
Testing Laboratory
N/A
Reference Range
<140 % Baseline
Setup Schedule / Expected Turnaround Time
Monday - Saturday; Report available: 3 - 5 days