PROSTATE SPECIFIC ANTIGEN, SCREEN (TOTAL)

Message

Serum is the only acceptable sample type; do not send plasma.

Test Code

PSAS

CPT Codes
84153 G0103 (Medicare)

Preferred Specimen

1 Gold tube (gel separator)

Minimum Volume

0.5 mL

Other Acceptable Specimens

or 1 Red tube

Instructions

Centrifuge for complete separation of serum and red cells. If Red top is used, aliquot (transfer) serum into a transfer tube and refrigerate.

Transport Temperature

Refrigerate

Specimen Stability

2-8°C up to 7 days
-20°C up to 5 months

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

Hemolyzed samples

Methodology

ECLIA (EIA by Chemiluninescence)

Setup Schedule

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

Report Available

Within 24 hours of receipt at the performing laboratory.

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

As an aid in the detection of prostate cancer in men aged 50 years or older and serial measurements are used to aid in the management of cancer patients.

Performed By
Alverno Laboratories

Performing Laboratory
Alverno Central Lab
NCHB2 (Chemistry, Beckman DxI)

Last Updated: June 9, 2023

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.