PSA Screen Annual Screening

Message
Only covered for medical necessity using ICD-10 Diagnosis: Z12.5
This electrochemiluminescence immunoassay is performed on a Roche Cobas e411.  Different testing methods should not be used interchangeably, particularly in serial monitoring, as results can vary due to differences in assay methods or reagent specificity.


Test Code
LAB6046


Alias/See Also
PSA Screen; Prostate Specific Antigen Screen


CPT Codes
G0103

Instructions
"Routine venipuncture
Collect one 5ml Red/gold top serum separator tube"


Specimen Stability
Stable refrigerated 48 hours


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Failure to follow proper collection or storage procedures


Methodology
Electrochemiluminescence immunoassay

Setup Schedule
Tuesday, Friday - PM Shift


Report Available
Within 24 hours or setup run


Additional Information
NCD-ABN_Prostate_Cancer_Preventative_Screening


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.