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Specimen Collection Manual and Test Catalog

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THYROGLOBULIN AND THYROGLOBULIN ANTIBODY FOR TUMOR MONITORING

Geisinger Epic Procedure Code:  LAB3157    Geisinger Epic ID:  56526

SPECIMEN COLLECTION
Specimen type: 

Serum


Preferred collection container: 
Alternate collection container: 
Gold-top (serum separator) microcollection tube
Specimen required: 

2 mL serum; minimum 1.5 mL


Special notes: 

If collecting specimen in microcollection tubes, collect 3 FULL serum separator microcollection tubes.



SPECIMEN PROCESSING
Processing instructions: 

Allow to clot. Centrifuge within 2 hours of collection and submit one (1) full 3.5 mL gold-top serum separator tube. Aliquot also acceptable (1.5 mL minimum).


Transport temperature: 

Refrigerated.


Specimen stability: 

Thyroglobulin Tumor Monitoring: 5 days refrigerated and 28 days frozen. 
Thyroglobulin AB Tumor Monitoring: 3 days refrigerated and 28 days frozen


Rejection criteria: 

Stability limit exceeded.



TEST DETAILS
Reference interval: 

Thyroglobulin Tumor Monitoring: See report 
Thyroglobulin AB Tumor Monitoring: < 22 U/mL


Additional information: 

Thyroglobulin quantified by LC-MS/MS must be added on within 7 days from when results are released.


CPT code(s):  86800, 84432
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.
The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.

Test includes: 

Thyroglobulin (performed at Quest 15561) and Thyroglobulin Antibody (performed at GMC)


Methodology: 
Chemiluminescence
Synonyms: 

TPTM


Clinical significance: 

Thyroglobulin is used to monitor postoperative residual or recurrent differentiated thyroid cancers. Up to 30 percent of this patient population, however, develops autoantibodies to thyroglobulin. These autoantibodies may interfere with immunometric thyroglobulin assay and result in underestimation of thyroglobulin. When autoantibodies to thyroglobulin are present at or above 22 U/mL, thyroglobulin quantified by LC-MS/MS is recommended.


Doctoral Director(s): 
Hoi-Ying Elsie Yu, PhD, DABCC, FADLM
Sheng-Ying (Margaret) Lo, PhD, DABCC
Review Date:  12/27/2024

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