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 serum from cells and send 1.0 mL serum 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

Methodology

Chemiluminescence
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Reference Range

Prostate Specific Antigen:
Female: ≤0.2 ng/mL
Male: ≤4.0 ng/mL
Free PSA - See report
% Free PSA - See report
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Performing Laboratory

Warde Medical Laboratory
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