PSA - Annual Screening

Test Code
PRSAS


CPT Codes
G0103

Preferred Specimen

Green




Minimum Volume
0.5 mL


Other Acceptable Specimens
Lithium Heparin Plasma (green top) tube


Instructions

This test is the "PSA - Annual Screening" test. For the "PSA - Diagnostic" test, order PRSA.



Transport Container

Serum (gold top) tube or Lithium Heparin Plasma (green top) tube



Transport Temperature
Room Temperature or Refrigeration


Specimen Stability
Room Temperature - 1 day; Refrigerated - 7 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Turbidity, Quantity Not Sufficient, IV contamination


Methodology
Chemiluminescence

Setup Schedule

Daily upon receipt



Report Available
Upon completion of analysis


Reference Range

0 - 4.0 ng/mL



Clinical Significance

Prostate cancer is the most common type of cancer found in men in the United States, and is the second leading cause of cancer deaths among American men. As with other cancers, it is more successfully treated if diagnosed early. Prostate Specific Antigen is found in normal, benign hyperplastic and malignant prostatic tissue as well as in prostatic fluid and seminal plasma. In serum, PSA exists in several different forms. However, only free and alpha-1-antichymotrypsin (ACT)-complexed PSA are immunologically active. This PSA test measures total PSA (free and ACT-complexed PSA). Elevated serum PSA concentrations are found in men with prostate cancer, benign prostatic hypertrophy (BHP) or inflammatory conditions of other adjacent genitourinary tissues, but not in apparently healthy men or in men with cancers other than prostate cancer. Measurement of serum PSA by itself is not recommended as a screening procedure for the diagnosis of cancer because elevated PSA levels are also observed in patients with benign prostatic hypertrophy. When employed for the management of prostate cancer patients, serial measurement of PSA is useful in detecting residual tumor and recurrent cancer after radical prostatectomy. PSA has been demonstrated to be an accurate marker for monitoring advancing clinical stage in untreated patients and for monitoring response to therapy by radical prostatectomy, radiation therapy and anti-androgentherapy.PSA is also important in determining the potential and actual effectiveness of surgery or other therapies. This test is the "PSA - Annual Screening" test. For the "PSA - Diagnostic" test, order PRSA.





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.