TSH Receptor Antibody

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. TSH Receptor Antibody
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

TSHRA

Test Workstation :

MAYO

Specimen Type:

Blood

Tube Type:

Red top (no anticoagulant) tube

Alternate Tube Type:

SST

Collection Volume:

2.5 mL

Minimum Volume:

1.5 mL

Cause for Rejection:

Gross hemolysis, Gross icterus

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Electrochemiluminescence Immunoassay

Special Instructions:

For 12 hours before specimen collection, do not take multivitamins or dietary supplements containing biotin (vitamin B7), which is commonly found in hair, skin, and nail supplements and multivitamins. Patient should not be receiving heparin treatment.

Lab/Phone:

330-543-8418

TAT:

1-3 days

Additional Info:

Reference range available on patient report

CPT Code:

83520

Synonyms:

Antibodies to TSH receptor, Inhibitory Immunoglobulin, LongActing Thyroid Stimulator (LATS), Thrytropin Receptor Antibody (TRAb)

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TSH Receptor Antibody

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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