Prostate Specific Antigen, Total

Test Code
PSA


Alias/See Also
Epic: LAB116


CPT Codes
84153

Preferred Specimen

Specimen Type: Serum
Collection Container
Serum gel
Specimen Volume: 3 mL




Minimum Volume

0.5 mL




Instructions
Centrifuge and separate cells after clot formation and within 4 hours of collection.  Remove serum if testing will be delayed more than 24 hours


Transport Container
Plastic vial


Specimen Stability

Room temperature: Unacceptable
Refrigerated (on gel): 24 hours
Refrigerated (off gel): 24 hours
Frozen: >24 hours




Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Samples stored on gel >24 hours, unlabeled, mislabeled, wrong tube type, hemolyzed, QNS, exceeds specimen stability requirements.




Methodology

Chemiluminescent microparticle immunoassay (CMIA)



Setup Schedule

Daily




Report Available

Same day




Limitations

Serum PSA concentrations should not be interpreted as absolute evidence for the presence or absence of prostate cancer.
The PSA value should be used in conjunction with information available from clinical evaluation and other diagnostic procedures such as DRE. Prostatic biopsy is required for the diagnosis of cancer.
Heterophilic antibodies in human serum can react with reagent immunoglobulins, interfering with in vitro immunoassay. Patients routinely exposed to animals or to animal serum products can be prone to this interference and anomalous values may be observed.
Prostatic massage, ultrasonography, and needle biopsy may cause clinically significant elevation in PSA levels.

 




Reference Range
0.0 - 4.0 ng/mL


Performing Laboratory

Inova Laboratories

2832 Juniper Street

Fairfax, VA 22031




Last Updated: March 8, 2023
Last Review: N. Wolford, March 8, 2023


The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.