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Test Code RT3 T3 (Triiodothyronine), Reverse, Serum

Additional Codes

CNE Order Code: T3 Reverse

Reporting Name

T3 (Triiodothyronine), Reverse, S

Useful For

Aiding in the diagnosis of the sick euthyroid syndrome

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Serum


Specimen Required


Supplies: Sarstedt Aliquot Tube, 5 mL (T914)

Collection Container/Tube:

Preferred: Red top

Acceptable: Serum gel

Submission Container/Tube: Plastic vial

Specimen Volume: 0.8 mL

Collection Instructions: Centrifuge and aliquot serum into a plastic vial.


Specimen Minimum Volume

0.4 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Serum Refrigerated (preferred) 28 days
  Ambient  28 days
  Frozen  28 days

Reference Values

10-24 ng/dL

Day(s) Performed

Monday through Friday

CPT Code Information

84482

LOINC Code Information

Test ID Test Order Name Order LOINC Value
RT3 T3 (Triiodothyronine), Reverse, S 3052-8

 

Result ID Test Result Name Result LOINC Value
9405 T3(Triiodothyronine),Reverse,S 3052-8

Interpretation

In hospitalized or sick patients with low triiodothyronine (T3) values, elevated reverse triiodothyronine (rT3) values are consistent with sick euthyroid syndrome. Also, the finding on an elevated rT3 level in a critically ill patient helps exclude a diagnosis of hypothyroidism.

 

The rT3 is high in patients on medications such as propylthiouracil, ipodate, propranolol, amiodarone, dexamethasone, and the anesthetic agent halothane. Dilantin decreases rT3 due to the displacement from thyroxine-binding globulin, which causes increased rT3 clearance.

 

To convert from ng/dL to nmol/L, multiply the ng/dL result by 0.01536.

Report Available

2 to 6 days

Reject Due To

Gross hemolysis Reject
Gross lipemia OK
Gross icterus OK

Method Name

Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS)

Portions of this test are covered by patents held by Quest Diagnostics.

Forms

If not ordering electronically, complete, print, and send a General Request (T239) with the specimen.