Prostate Specific Antigen, Diagnostic

Last Modified: 5/16/2023 10:59:12 AM


  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:
Client Notes:  
Patient Preparation: Patient should discontinue taking Biotin, Vitamin B7, or Vitamin H 48 hours before getting blood drawn.
Specimen Requirements:

1.0 mL Serum in a SST Gold Top Tube
Collection Instructions:  
Transport & Storage: Temperature/Stability: 48 hours Refrigerated
> 48 hours Frozen

24 hours unspun
Reference Range: 0.0 - 4.0 ng/mL
PSA testing is performed by ECLIA on the Roche Cobas 8000.  The PSA assay is intended to be used as an aid in the detection of prostate cancer and as an aid in the management (monitoring) of patients with prostate cancer in accordance with current clinical practice guidelines.  These guidelines define biochemical recurrence of prostate cancer as a detectable or rising PSA value post-radical prostatectomy that is >0.2 ng/mL with a second confirmatory level of >0.2 ng/mL.
Critical Ranges:  
Test Comments: Patients taking vitamin supplements containing doses of >5 mg/day may have falsely decreased test results generated.
Methodology: Chemiluminescence ECLIA
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Regional Medical Center
PHL Test Code: PSA
EPIC Test Code: LAB116
Alternate Test Names: Prostate Specific Antigen, Diagnostic; PSA Total, Diagnostic; PSA, Diagnostic
Included Tests:  
CPT Coding: 84153

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