PSA Total & Free

Specimen:

Test Code

YPSTFR

Specimen Name

PSA Total & Free

Collect

SST; Also Acceptable: Plain Red Top

Submit

1 mL (Min: 0.3 mL) Serum, Refrigerated (Frozen if >24 hours)

Special Handling

The specimen should be allowed to clot before centrifugation. Centrifuge the specimen and remove serum or plasma from the cells with 3 hours of collection. If collecting a red top tube, serum should be separated from the cells promptly to an appropriately labeled transfer tube.

Rejection Criteria

—

Stability

Refrigerated 24 hours; Frozen 5 months

Methodology

Instrument: Beckman Coulter DxI 9000

Performed

Tuesday/Friday

Reported

2-7 days

CPT Codes

  • 84153
  • 84154

Components

—

Additional Information

Specimens for PSA testing should be drawn prior to such prostatic manipulations as digital rectal exam (DRE), prostatic massage, transrectal ultrasound (TRUS) and prostatic biopsy. DRE may cause transient increase in serum PSA levels. A repeat PSA measurement in the case of borderline elevation has been recommended. Transrectal needle biopsy has also been shown to cause persisting PSA elevations. Thus, a 6 week waiting period between needle biopsy and PSA sampling has been recommended.

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Common Lab Definitions

  • Serum 
  • Plasma 
  • STT