Ordering Recommendations

PSA Tumor Marker [LAB3695] and Prostate Specific Antigen Screen [LAB3696] should not be ordered together.

Turnaround Time

Testing is performed daily.

Use

Elevated in many patients with prostate cancer, as well as in some patients with prostatic hypertrophy. Primarily used to track progression of prostatic carcinoma, monitor therapeutic response, and identify recurrence of disease. Half life is approximately 2 days.

Specimen Type

Blood

Collection Containers

Green (lithium heparin, gel)
Alternate Containers: Green (lithium heparin, no gel), Green (lithium heparin) on ICE, Red (no gel), Red or gold (gel)

Collection Volume

2.5 mL

Minimum Collection Volume

0.6 mL

Specimen Preparation

Centrifuge and aliquot within 4 hours of collection 1.25 mL, 0.2 mL minimum. Store in refrigerator.

Shipping Instructions

Ship at refrigerated temperature. Alternatively, ship on dry ice.

Stability (from collection to initiation)

7 days refrigerated; up to 4 months frozen at -80°C.

Containers

Green (Lithium Heparin, Gel)

Alternate Containers

Green (Lithium Heparin, No Gel)

Green (Lithium Heparin, Gel) on ICE

Red (No Gel)

Red or Gold (Gel)

Reference Interval

Results obtained with different assay methods or kits cannot be used interchangeably.

Roche M/F/Unspecified
Age ug/L
0-39 y N/A
40-49 y 0-2.5
50-59 y 0-3.5
60-69 y 0-4.5
70-79 y 0-6.5
80 y & up N/A

An undetectable (<0.01 ng/mL) ultrasensitive prostate-specific antigen (USPSA) concentration after radical prostatectomy is reassuring and may aid in postoperative risk stratification of patients.
 
A detectable USPSA concentration (> or =0.01 ng/mL) after radical prostatectomy (RP) does not necessarily translate into disease progression or recurrence. Interpretation of a detectable USPSA needs to be made in conjunction with other clinicopathologic risk factors. The cutpoint for interpretation of USPSA assays remains controversial and has ranged from 0.01 to 0.05 ng/mL. For example, in a study that included 754 men after RP, a cutpoint of 0.01 ng/mL was an independent predictor of biochemical recurrence (BCR). BCR-free survival at 5 years was 92.4% for patients with an USPSA post-RP of less than 0.01 ng/mL and 56.8% for patients with an USPSA post-RP of 0.01 ng/mL or higher.(1) In the same study a cutoff of 0.03 ng/mL also predicted BCR independent of clinicopathological factors and BCR-free survival at 5 yrs was 90.8% for patients with an USPSA post-RP of less than 0.03 ng/mL and 26.9% for patients with a PSA post-RP of greater or equal to 0.03 ng/mL. (1)

1. Sokoll LJ, Zhang Z, Chan DW, et al. Do ultrasensitive prostate specific antigen measurements have a role in predicting long-term biochemical recurrence-free survival in men after radical prostatectomy? J Urol. 2016;195(2):330-336. doi:10.1016/j.juro.2015.08.080

Contraindications

Large doses of biotin (10 mg or more per day) may cause clinically significant interference in PSA tumor marker levels. If interference is suspected, it is strongly recommended that biotin is discontinued for at least one week prior to retesting.

CPT Disclaimer

The Current Procedural Terminology (CPT) Codes published in the M Health Fairview Test Directory are based on American Medical Association (AMA) guidelines and are provided for informational purposes only. CPT codes are provided only as guidance to assist clients with billing. CPT coding is the responsibility of the billing party. M Health Fairview Laboratories does not assume responsibility for billing errors due to reliance on the CPT codes listed in this Test Directory. Charges may vary due to reflexing, susceptibilities, specimen source, patient age, methodology requirements, etc..

Patient Price Inquiries

Requester Contact Information
Patient and UMP/FV Care Team Fairview Consumer Line at 612-672-1048
MRL Outreach Client DEPT-MRL-CLIENT-MANAGEMENT@Fairview.org
Research research@fairview.org

CPT Codes

CPTQtyHC HospitalPR ClinicNote
84153130084153038415301HC PSA DIAGNOSTIC (TUMOR MARKER)

Methodology

Ultrasensitive Electrochemiluminescence Immunoassay (ECLIA) 

MRL Test Build

Test Name Component Required Description Type LOINC
LAB3695     PSA, Tumor Marker Orderable  
  SRC_1001 Y Blood specimen source: Prompt  
  1231002059   PSA Tumor Marker Result 2857-1

Data Type / Multiple Choice Response

SRC_1001
Blood specimen source:
Arm, Left|Arm, Right|Hand, Left|Hand, Right|Blood, Capillary|Other|Peripheral Blood
Default: Peripheral Blood

Contact

For questions regarding the test code Interface Map, please contact DEPT-LAB-CLIENT-INTERFACE@fairview.org
Ordering

Ordering Recommendations

PSA Tumor Marker [LAB3695] and Prostate Specific Antigen Screen [LAB3696] should not be ordered together.

Turnaround Time

Testing is performed daily.

Use

Elevated in many patients with prostate cancer, as well as in some patients with prostatic hypertrophy. Primarily used to track progression of prostatic carcinoma, monitor therapeutic response, and identify recurrence of disease. Half life is approximately 2 days.
Collection & Processing

Specimen Type

Blood

Collection Containers

Green (lithium heparin, gel)
Alternate Containers: Green (lithium heparin, no gel), Green (lithium heparin) on ICE, Red (no gel), Red or gold (gel)

Collection Volume

2.5 mL

Minimum Collection Volume

0.6 mL

Specimen Preparation

Centrifuge and aliquot within 4 hours of collection 1.25 mL, 0.2 mL minimum. Store in refrigerator.

Shipping Instructions

Ship at refrigerated temperature. Alternatively, ship on dry ice.

Stability (from collection to initiation)

7 days refrigerated; up to 4 months frozen at -80°C.

Containers

Containers

Green (Lithium Heparin, Gel)

Alternate Containers

Green (Lithium Heparin, No Gel)

Green (Lithium Heparin, Gel) on ICE

Red (No Gel)

Red or Gold (Gel)

Result Interpretation

Reference Interval

Results obtained with different assay methods or kits cannot be used interchangeably.

Roche M/F/Unspecified
Age ug/L
0-39 y N/A
40-49 y 0-2.5
50-59 y 0-3.5
60-69 y 0-4.5
70-79 y 0-6.5
80 y & up N/A

An undetectable (<0.01 ng/mL) ultrasensitive prostate-specific antigen (USPSA) concentration after radical prostatectomy is reassuring and may aid in postoperative risk stratification of patients.
 
A detectable USPSA concentration (> or =0.01 ng/mL) after radical prostatectomy (RP) does not necessarily translate into disease progression or recurrence. Interpretation of a detectable USPSA needs to be made in conjunction with other clinicopathologic risk factors. The cutpoint for interpretation of USPSA assays remains controversial and has ranged from 0.01 to 0.05 ng/mL. For example, in a study that included 754 men after RP, a cutpoint of 0.01 ng/mL was an independent predictor of biochemical recurrence (BCR). BCR-free survival at 5 years was 92.4% for patients with an USPSA post-RP of less than 0.01 ng/mL and 56.8% for patients with an USPSA post-RP of 0.01 ng/mL or higher.(1) In the same study a cutoff of 0.03 ng/mL also predicted BCR independent of clinicopathological factors and BCR-free survival at 5 yrs was 90.8% for patients with an USPSA post-RP of less than 0.03 ng/mL and 26.9% for patients with a PSA post-RP of greater or equal to 0.03 ng/mL. (1)

1. Sokoll LJ, Zhang Z, Chan DW, et al. Do ultrasensitive prostate specific antigen measurements have a role in predicting long-term biochemical recurrence-free survival in men after radical prostatectomy? J Urol. 2016;195(2):330-336. doi:10.1016/j.juro.2015.08.080

Contraindications

Large doses of biotin (10 mg or more per day) may cause clinically significant interference in PSA tumor marker levels. If interference is suspected, it is strongly recommended that biotin is discontinued for at least one week prior to retesting.
Administrative

CPT Disclaimer

The Current Procedural Terminology (CPT) Codes published in the M Health Fairview Test Directory are based on American Medical Association (AMA) guidelines and are provided for informational purposes only. CPT codes are provided only as guidance to assist clients with billing. CPT coding is the responsibility of the billing party. M Health Fairview Laboratories does not assume responsibility for billing errors due to reliance on the CPT codes listed in this Test Directory. Charges may vary due to reflexing, susceptibilities, specimen source, patient age, methodology requirements, etc..

Patient Price Inquiries

Requester Contact Information
Patient and UMP/FV Care Team Fairview Consumer Line at 612-672-1048
MRL Outreach Client DEPT-MRL-CLIENT-MANAGEMENT@Fairview.org
Research research@fairview.org

CPT Codes

CPTQtyHC HospitalPR ClinicNote
84153130084153038415301HC PSA DIAGNOSTIC (TUMOR MARKER)

Methodology

Ultrasensitive Electrochemiluminescence Immunoassay (ECLIA) 

Interface Mapping

MRL Test Build

Test Name Component Required Description Type LOINC
LAB3695     PSA, Tumor Marker Orderable  
  SRC_1001 Y Blood specimen source: Prompt  
  1231002059   PSA Tumor Marker Result 2857-1

Data Type / Multiple Choice Response

SRC_1001
Blood specimen source:
Arm, Left|Arm, Right|Hand, Left|Hand, Right|Blood, Capillary|Other|Peripheral Blood
Default: Peripheral Blood

Contact

For questions regarding the test code Interface Map, please contact DEPT-LAB-CLIENT-INTERFACE@fairview.org
Private Details