PROSTATE SPECIFIC ANTIGEN, DIAGNOSTIC (TOTAL)

Test Code

PSA (OE), PSAD (LAB)

CPT Codes
84153

Preferred Specimen

1 Gold tube (SST)

Serum is the only acceptable sample type; DO NOT SEND PLASMA

Patient Preparation

Minimum Volume

1 mL

Other Acceptable Specimens

1 Red tube

Instructions

Centrifuge for complete separation of serum from red cells.

Transport Container

Transfer tube

Transport Temperature

Refrigerate

Specimen Stability

2-8°C up to 7 days
Frozen up to 5 months

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

Hemolyzed

Methodology
EIA by Chemiluminescence

Setup Schedule

M, T, W, Th, F, Sa, Sun

As received; STAT testing is available

Report Available

Same day received

Reference Range

Male:

<40 years = <1.4 ng/mL
<50 years = <2.0 ng/mL
<60 years = <3.1 ng/mL
<70 years = <4.1 ng/mL
>70 years = <4.4 ng/mL

Clinical Significance

Elevated serum PSA concentrations have been reported in men with prostate cancer, benign prostatic hypertrophy, and inflammatory conditions of the prostate.

Performing Laboratory
Alverno Central Lab

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.