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PSA
PROSTATE-SPECIFIC ANTIGEN (PSA), SCREENING, SERUM

Test Code PSA 
Test PROSTATE-SPECIFIC ANTIGEN (PSA), SCREENING, SERUM 
Methodology Electrochemiluminescence Immunoassay 
Description Useful for aiding in the detection of early-stage prostate cancer in conjunction with digital rectal examination (DRE).

No sample should be collected on patients receiving therapy with high biotin doses(i.e. biotin therapy for Multiple Sclerosis or oncology patients; skin, hair and nail supplements, or multivitamins containing > 5 mg/day) until at least 12 hours after the last biotin administration. If unsure, or if the clinical picture does not fit the results please contact the laboratory . We have methods to check for biotin interference as well as for any other interferences and for the accuracy of the results.

Biotin interference would falsely decrease the result of this assay.

NOTE: This test, when ordered on Medicare patients, is subject to the CMS Medicare Coverage Issues Manual (MCIM) Diagnostic Services policy "Prostate Specific Antigen (Screening)", Please verify that the diagnosis code (ICD-9) you have chosen demonstrates medical necessity for the test as documented in the physician's patient record. The CMS web site or the NorDx Limited Coverage Documentation Guide are available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD-9 code chosen. 

Specimen Draw blood in either a plain, red-top tube or serum gel tube. Spin down and send 1.0 mL (minimum volume: 0.5 mL) of serum refrigerated. PSA specimens should be drawn prior to prostatic manipulations such as DRE, prostatic massage, transrectal ultrasound (TRUS), and prostatic biopsy. These procedures may falsely elevate PSA values. 
Reference Values Males:
<= 4.0 ng/mL
Females:
No established reference values 
Analytic Time 1 Day 
Day(s) Test Set Up Monday through Sunday 
CPT Code(s) 84153  (non-Medicare)
G0103  (Medicare only)