CA 15.3 Cancer Antigen

Test Code
CA153


Alias/See Also
CA153, CA2729, or Cancer antigen, breast


CPT Codes
86300

Preferred Specimen

1.0 mL of whole blood (0.5 mL of serum/plasma)




Minimum Volume
0.6 mL of whole blood (0.3 mL of serum/plasma)


Transport Container
Serum Separator (gold top) or No Additive Red Top. Lithium Heparin (mint or green top), EDTA (lavendar top)


Transport Temperature
Refrigerated


Specimen Stability
Room Temperature: 8 hours
Refrigerated: 7 days
Frozen: 4 weeks at - 20 C


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Turbid specimens are unacceptable.


Methodology
Chemiluminescent



Setup Schedule


Set up Monday through Saturday.




Report Available
Specimens received by noon will be reported by 4:30 p.m.  Specimens received after noon will be reported by the next morning


Clinical Significance
Research studies have indicated that CA 15-3 assay values are frequently elevated in patients with breast cancer.  These studies have suggested that the CA 15-3 assay may be of clinical value for monitoring the response of patients undergoing therapy because increasing and decreasing values correlated with disease progression and regression, respectively. Additional published studies have suggested that increasing CA15-3 assay values
in patients at risk for breast cancer recurrence after primary therapy may be indicative of recurrent disease before it can be detected clinically.
 
The CA 15-3 assay is not recommended as a screening procedure to detect cancer in the general population; however, use of the CA 15-3 assay as an aid in the management of breast cancer patients has been reported.

Values obtained with different assay methods or kits cannot be used interchangeably.




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.