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Test Code PSA-D PSA,DIAGNOSTIC

Important Note

Test subject to Medicare National Coverage Determination (NCD).

See Medical Necessity documentation requirements by clicking on  

Medicare National Coverage Determinations under General Information

to left of this screen.

Additional Codes

LAB116

Performing Laboratory

Porter Hospital Laboratory

Specimen Requirements

Specimen Type: Blood
Container/Tube: Tiger top, serum gel
Also Acceptable: Green top (Lithium Heparin)
Specimen Volume: Full tube, submit 0.4 mL serum
Specimen Minimum Volume: 0.35 mL
Collection Instructions:
1. Send specimen in original tube.
2. If there is a delay in transport of >1 hour, centrifuge tube.
3. Centrifuged samples are stable for 7 days at 2 – 8ºC

Specimen Transport Temperature

Refrigerated

Day(s) Performed

Daily

Test Classification and CPT Coding

84153

Normal Reference Values

Males: < 4 ng/mL

Critical Values

None

Specimen Requirements Additional Information

Use when patient is having symptoms along with appropriate Diagnostic Code(s).