Skip to content

Thyroid Uptake Index (Radioactive Iodine Uptake from Serum Thyroid Hormones)

Published: August 9, 2026Updated: August 17, 2026

This test measures how well your thyroid absorbs radioactive iodine from thyroid hormones in your blood. It helps assess thyroid function, especially in diagnosing conditions like hypothyroidism or hyperthyroidism.

Quick summary

["This test evaluates thyroid hormone uptake to guide thyroid function diagnosis and treatment planning."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
3028-8
Short code
T4/T3 uptake index SerPl
Synonyms
T4/T3 uptake index SerPl
Category
coagulation
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
80
Ref high
200
Critical range
20 N/A – 400 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85610
SNOMED
396252006
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your healthcare provider may order this test if you have symptoms like fatigue, weight changes, or irregular heart rhythms, or if thyroid-related issues are suspected. It can also be used to monitor thyroid hormone replacement therapy.

What Does the Test Involve?

You’ll have a small amount of radioactive iodine injected into your bloodstream. After a set time (usually 24 hours), a special camera scans your thyroid to measure how much iodine it takes up. Your blood is also tested for thyroid hormones (T3 and T4) to calculate the uptake index.

What to Expect Before the Test

No special preparation is needed, but avoid iodine-containing supplements or foods (like seafood) for 24 hours before the test. Wear comfortable clothing and arrange for someone to drive you home afterward, as you’ll need to avoid contact with others due to radiation exposure.

What the Results Mean

The uptake index compares how much iodine your thyroid absorbs relative to the levels of thyroid hormones in your blood. Low uptake may suggest hypothyroidism, while high uptake could indicate hyperthyroidism or other thyroid disorders.

Reference range

Adult: 80-200 ng/dLN/A

Specimen: serum

Take your thyroid medication after the blood draw if applicable. No fasting required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: This test helps diagnose and monitor thyroid disorders by assessing thyroid hormone metabolism and uptake efficiency. It complements other thyroid tests like TSH, free T4, and T3 levels to provide a full picture of thyroid function.

Short name

Thyroid Uptake Test

Frequently asked questions

What is a normal range for this test?
There is no single standard range for the uptake index because it depends on your thyroid hormone levels and individual thyroid function. Your results will be compared to your baseline or other relevant thyroid tests for interpretation.
How long does it take to get results from this test?
Results are typically available within 1–2 weeks after the initial radioactive iodine injection and blood draw, as the imaging and lab work require time to complete.
Can I eat or drink anything before the test?
Yes, you can eat and drink normally before the test, but avoid iodine-containing foods or supplements for 24 hours before the scan to get accurate results.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy