Skip to content

Thyroid Stimulating Hormone (TSH) with Serum/Plasma Specimen, Immunoassay Method

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

This test measures your thyroid-stimulating hormone, a key hormone your body uses to regulate thyroid function. It helps assess whether your thyroid is working properly.

Quick summary

["Your TSH level helps determine if your thyroid is underactive, overactive, or functioning normally."]

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

Key facts at a glance

LOINC
12942-9
Short code
TSH sp3 p chal SerPl-aCnc
Synonyms
TSH sp3 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 This Test Is Done

Doctors order TSH tests to check for thyroid disorders, such as hypothyroidism (low thyroid activity) or hyperthyroidism (overactive thyroid). It may also be used during pregnancy, before surgery, or when managing conditions like diabetes or heart disease.

How the Test Works

A small blood sample is taken from a vein in your arm. The sample is sent to a lab where it is analyzed using an immunoassay to detect and measure TSH levels.

What to Expect Before the Test

No special preparation is needed for this test. However, you may be asked to fast for 8–12 hours before the test if your doctor recommends it, though this is not always required for TSH.

What the Results Mean

Results are interpreted by your healthcare provider based on your symptoms, medical history, and other tests. High TSH levels often indicate hypothyroidism, while low levels may suggest hyperthyroidism or other 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.

TSH is the primary hormone used to monitor thyroid function. Abnormal levels can signal thyroid disorders that may require treatment, such as medication adjustments, hormone replacement, or further diagnostic testing. It is also a critical marker in conditions like pituitary disorders or thyroid cancer.

Short name

TSH Level

Frequently asked questions

How long does it take to get my TSH test results?
Results are typically available within 1–3 business days, depending on your lab and healthcare provider. Follow-up with your doctor to discuss the results and any next steps.
Can I eat or drink before this test?
Most TSH tests do not require fasting, but your doctor may advise otherwise. If fasting is recommended, avoid food and liquids (except water) for 8–12 hours before the test.
What are common reasons doctors order a TSH test?
Doctors may order a TSH test to check for thyroid problems, monitor thyroid function during pregnancy, evaluate symptoms like fatigue, weight changes, or heart issues, or before certain surgeries or treatments.
  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 16, 2026. · Read our editorial policy