PSA, SCREENING

Test Code

LAB304140

CPT Codes
G0103

Preferred Specimen

One 5 mL gold top tube
Pediatric: One gold top microtainer

Minimum Volume

5 mL blood(Adult)

Other Acceptable Specimens

Red top tube

Instructions

Collect before digital exam. Order must be marked as either screening or diagnostic.

Sample must be centrifuged within two hours of collection. Serum/plasma must be removed from the red cells and put into aliquot tubes following centrifugation.

Transport Temperature

Refrigerated

Specimen Stability

Ambient: Not specified
Refrigerated: 24 hours
Frozen: not specified

Methodology
Chemiluminescent Immunoassay

Setup Schedule

Sunday-Saturday

Reference Range

Males ≥ 0.0-4.0 ng/mL

Performing Laboratory
West Virginia University Hospital, Inc.
Berkeley Medical Center
Barnesville Hospital
Braxton County Memorial
Camden Clark Medical Center
Garrett Regional Medical Center
Harrison Community Hospital
Jackson General Hospital
Princeton Community Hospital
Potomac Valley Hospital
Reynolds Memorial Hospital
Summersville Regional Medical Center
St. Joseph’s Hospital
United Hospital Center
Uniontown Hospital
Wetzel County Hospital
Wheeling Hospital

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.