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Test Code LAB117 PSA (PROSTATE SPECIFIC ANTIGEN) SCREENING

Important Note

This code is used only for Medicare patients with a screening PSA. Medicare will pay for one per year.

Additional Codes

Epic Code Atlas Code Mayo Access ID Order LOINC Legacy Code
LAB117 PSAS FAH5385 2857-1 PSAS

 

Specimen Information

Container Specimen Temperature Collect Vol Submit Vol Min Vol Stability
SST Serum Refrigerate 4 mL 1 mL 0.5 mL 7 days

 

Test Schedule / Analytical Time / Test Priority

Monday – Friday / Same day, first shift only / Not available STAT

Method

Chemiluminescence Immunoassay

CPT(s)

Description CPT Code
PSA (Prostatic Specific Antigen) 84153

 

Instrumentation

Siemens ADVIA Centaur XPT

Reference Range

Age Sex Low High Units
0 - 50 years Male   ≤2.5 ng/mL
50 - 60 years Male   ≤3.5 ng/mL
60 - 70 years Male   ≤4.5 ng/mL
≥70 years Male    ≤6.5 ng/mL

 

Section

Chemistry-2

Performing Location

University of Vermont Medical Center

Is the UVMMC lab NY State Certified to perform this testing?  Yes/No

Yes

Result Component(s)

Reporting Name Epic Code Atlas Code Mayo Access ID LOINC 
PSA   PSA   2857-1