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

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

This blood test measures your thyroid-stimulating hormone, a key hormone that helps regulate your metabolism and thyroid function.

Quick summary

["Your TSH level 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
25990-3
Short code
TSH 30M p TRH IN SerPl-sCnc
Synonyms
TSH 30M p TRH IN SerPl-sCnc
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
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?

Doctors may order a TSH test to diagnose or monitor thyroid conditions, such as hypothyroidism (underactive thyroid) or hyperthyroidism (overactive thyroid). It can also be used during pregnancy, to check for thyroid issues in newborns, or as part of routine health screenings.

What to Expect Before the Test

No special preparation is needed for this test. You may have a small needle inserted into a vein in your arm, and a small amount of blood will be drawn. If you’re on thyroid medication, let your healthcare provider know before the test.

What the Results Mean

TSH results help determine whether your thyroid is producing enough hormone. High levels may suggest hypothyroidism, while low levels could indicate hyperthyroidism or other thyroid disorders. Your doctor will interpret results in relation to your symptoms and medical history.

Common Conditions This Test Helps Diagnose

This test is often used to diagnose or manage conditions like Hashimoto’s disease (an autoimmune thyroid disorder), Graves’ disease, pituitary disorders, or thyroid nodules. It can also help monitor treatment 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 critical marker for thyroid function. Abnormal levels can signal underlying thyroid dysfunction, which may require further testing or treatment to restore balance and prevent complications like fatigue, weight changes, or heart issues.

Short name

TSH Level

Frequently asked questions

What causes a TSH test to be ordered?
A TSH test may be ordered if you have symptoms like fatigue, weight changes, hair loss, or unexplained mood swings. It’s also used during pregnancy, to check newborns for thyroid issues, or as part of routine thyroid function evaluations.
How long does it take to get TSH test results?
Results are typically available within 1–3 business days, depending on your lab and healthcare provider. Follow-up may be needed if results are outside expected ranges.
Can I eat or drink before a TSH blood test?
No special diet is required, but avoid caffeine or alcohol before the test as they may slightly affect hormone levels. Drink water as usual unless instructed otherwise.
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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