Prostate Specific Antigen with Free PSA Reflex

Overview

  • EPIC Code:
  • LAB2313
  • Soft Test Code:
  • PSAR
Alternate Names
  • PSA Free if indicated
  • PSA with Free PSA Reflex

Specimen Collection & Preparation

Patient Preparation

Patient should discontinue taking Biotin, Vitamin B7, or Vitamin H 48 hours before getting blood drawn.


Specimen Requirements:

-OR-

1.0 mL Serum in a SST Gold Top Tube
Minimum Volume:
0.5 mL Serum*

* This volume does not allow for repeat testing

Transport and Storage:
  • Ambient (18-24°C): 24 Hours
  • Refrigerated (2-8°C): 5 Days
  • Frozen (-20° C or colder): 3 Months

Clinical Interpretation

Reference Range:

0.0 - 4.0 ng/mL


Test Comments:

A Free PSA will be ordered and charged when the PSA results are > 4.0 or <10.0 ng/mL.

Patients taking vitamin supplements containing doses of >5 mg/day may have falsely decreased test results generated.


Methodology:
  • Electrochemiluminescence (ECLIA)

Production Schedule

Sites Performed
  • Parkview Regional Medical Center
Days Performed
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Departments
  • Chemistry

Coding & Compliance

CDM

01420013


CPT Coding

84153 (Reflexes 84154)


Medical Necessity May Apply