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Thyroid Stimulating Hormone (TSH) with Serum/Plasma Measurement by Immunoassay

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of thyroid-stimulating hormone (TSH) in your blood. TSH helps regulate your thyroid hormone levels, which control metabolism, energy, and overall health.

Quick summary

["TSH helps doctors check if your thyroid is working properly."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
12935-3
Short code
TSH 20M p chal SerPl-aCnc
Synonyms
TSH 20M p chal SerPl-aCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.4
Ref high
4
Critical range
0.1 N/A – 20 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84443
SNOMED
301343003
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 doctor may order a TSH test to diagnose or monitor thyroid conditions, such as hypothyroidism (underactive thyroid) or hyperthyroidism (overactive thyroid). It’s often the first test for thyroid issues because it’s sensitive and easy to measure.

What to Expect Before the Test

No special preparation is usually needed. You may have a small needle inserted into your arm or hand to draw blood. If you’re on thyroid medication, let your doctor know before the test.

What the Results Mean

TSH results help determine whether your thyroid is producing too much or too little hormone. High TSH levels often suggest hypothyroidism, while very low levels may indicate hyperthyroidism. Your doctor will interpret results in relation to your symptoms and medical history.

Common Conditions This Test Helps Diagnose

This test is commonly used to diagnose or manage thyroid disorders, including Hashimoto’s disease (autoimmune hypothyroidism), Graves’ disease (hyperthyroidism), and thyroid nodules. It can also help monitor treatment progress for thyroid conditions.

Reference range

Adult: 0.4-4.0 mIU/LN/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: TSH is a key marker for thyroid function. Abnormal levels can signal underlying thyroid disorders that may require treatment, such as hormone replacement therapy or medication adjustments. Regular monitoring with TSH testing is important for patients with thyroid conditions or those at risk for thyroid disease.

Short name

TSH Level

Frequently asked questions

How long does it take to get my TSH test results?
Results are typically available within 1 to 3 business days, depending on your lab and insurance. Your doctor will contact you once they’re ready to discuss the results.
Can I eat or drink before this test?
You can eat and drink normally before the test unless your doctor instructs otherwise. Avoiding food for a few hours before some tests is rare for TSH, but always follow your doctor’s specific instructions.
Will this test show if I have other health conditions besides thyroid issues?
TSH alone may not detect other health conditions, but it’s a reliable indicator of thyroid function. If your TSH is abnormal, further tests may be needed to explore other potential causes or related health concerns.
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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 16, 2026. · Read our editorial policy