A B C D E F G H I J K L M N O P Q R S T U V W X Y Z #

Prostate-Specific Antigen (PSA), Serum or Plasma
   *Serum only for Cox South laboratory

Test Code
997


CPT Codes
84153 or G0103 (for PSA screening)

Preferred Specimen

Submit only 1 of the following specimens (Serum only for Cox South laboratory):

Plasma
Container/Tube: Green-top (heparin) tube(s)
Specimen Volume: 3 mL (minimum volume: 0.5 mL) of plasma
 
Serum
Container/Tube: Serum gel tube(s)
Specimen Volume: 3 mL (minimum volume: 0.5 mL) of serum

Note: 
1. Avoid palpation of prostate for 14 days prior to test.
2. Rectal examination within 2 days of specimen collection may cause elevation of results. 




Transport Temperature


Refrigerate ≤8 hours/Freeze if >8 hours 




Methodology
Immunochemiluminescent Assay

Setup Schedule
Monday through Sunday


Reference Range
<4.0 ng/mL


Clinical Significance
 Useful for evaluation of patients with prostatic cancer.  


Performed By
CoxHealth



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.