Free T4 Index (T7)

CPT: 84479, 84436
Thyroid

What This Test Measures

Calculated value combining T3 uptake and Total T4; estimates free T4 without direct measurement.

Preparation

No fasting required
If taking T3 medication (liothyronine/Cytomel), draw at least 12–24 hours after your last dose for an accurate TSH. If splitting T3 doses, draw at your natural trough. Biotin supplements — even in multivitamins — can falsely skew thyroid results: discontinue at least 2 days before testing. No fasting required unless combined with other tests.
💬 Patient Community Notes

Many thyroid patients and functional practitioners target Free T4 in the middle-to-upper half of the reference range, rather than anywhere 'in range.' A low-normal Free T4 combined with low-normal Free T3 is considered suboptimal by functional practitioners even if TSH is 'normal.'

Reflects common practices in thyroid, BHRT, and functional medicine communities. This may differ from standard clinical guidelines. Not medical advice — always discuss with your provider.

General guidelines only. Requirements vary by lab and individual. Confirm with your provider before adjusting any medications.

Turnaround Time

Varies by lab

Clinical Notes

Panel code; increasingly replaced by direct Free T4

ICD-10 Codes

Common diagnosis codes associated with this test. Codes are assigned by your provider.

E03.9Hypothyroidism, unspecified
E05.90Hyperthyroidism, unspecified
E06.3Autoimmune thyroiditis
R53.83Other fatigue
Z79.899Other long term drug therapy

Self-Pay Pricing

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Ulta Lab Tests

Uses Quest Diagnostics network; generally lowest DTC prices; not available in NY, NJ, RI

$28.00Order
Walk-In Lab

Uses both Quest and Labcorp networks; competitive pricing; broad test selection

$28.00Order
Life Extension

Uses Labcorp network; known for supplement company; competitive lab test pricing

$28.00Order
HealthLabs.com

Uses Quest and Labcorp; strong panel bundling; results in 1-3 days

$39.00Order
Request A Test

Uses Quest and Labcorp networks; offers both individual tests and discounted panels

$49.00Order

Lab Codes

Proprietary codes used by each lab for this test.

ARUP Laboratories
3005976(order_code)
LabCorp
001149(order)
Mayo Clinic Labs
FRTUP(order_code)
Quest Diagnostics
866(order)

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For informational purposes only

This page is for educational and research purposes only and does not constitute medical advice, diagnosis, or treatment recommendations. ICD-10 and CPT codes are assigned by your healthcare provider. Always consult a qualified healthcare provider before ordering any lab test or making decisions about your health.