Test Details
Mnemonic
FPSA
Ordering Code
1012090
CPT-4 Code(s)
84153, plus 84154 if Free PSA performed, at additional cost
Specimen Information
Patient Preparation
Collect specimen prior to or at least one week after biopsy, rectal exam or other manipulation of prostate.
Collect
Serum separator tube (SST)
Specimen Preparation
Centrifuge, separate and freeze serum from cells within 3 hours of collection. Send 1.0 mL serum
in a screw capped plastic vial.
in a screw capped plastic vial.
Alternate Specimen
Serum: Red top
Minimum Volume
0.5 mL
Transport Temperature
Frozen
Rejection Criteria
Grossly hemolyzed, grossly lipemic, non-frozen samples, plasma
Stability
Room temperature: Unacceptable
Refrigerated: Unacceptable
Frozen: 5 months
Refrigerated: Unacceptable
Frozen: 5 months
Methodology
Chemiluminescence
Reference Range
Prostate Specific Antigen:
Female: ≤0.2 ng/mL
Male: ≤4.0 ng/mL
Free PSA - See report
% Free PSA - See report
Female: ≤0.2 ng/mL
Male: ≤4.0 ng/mL
Free PSA - See report
% Free PSA - See report
Performing Laboratory
Warde Medical Laboratory