PSA SCREEN
Prostate-Specific Antigen (PSA) Screen, Total, Serum
EPIC Test Procedure Code: LAB2368
Performing Lab:
Saint Luke's Regional Laboratories
Patient Preparation:
A specimen drawn prior to physical examination of the prostate is preferred.
Container Type:
Plain red top tube or serum gel tube
Specimen Type:
Serum
Preferred Volume:
2 mL
Minimum Volume:
0.3 mL
Store and Transport:
Refrigerated
CPT Codes:
84153 - PSA Screening (EAP 30014565)
(If billing Medicare, use G0103)
Test Schedule:
Monday through Sunday
Method:
Chemiluminescence
Reference Ranges:
0.00 - 4.00
ng/mL
Notes:
This may be considered a screening test. Medicare may not reimburse for this.
Please have Medicare patients sign an Advanced Beneficiary Notice (ABN) form.
Saint Luke's Regional Laboratories has documented traceability to the National
Reference System for Prostate Specific Antigen.