Test Code FRPSA Prostate Specific Antigen (PSA), Free, Serum or Plasma
Performing Laboratory
Huntsville Hospital Laboratory
Specimen Requirements
Container/Tube:
Preferred: Lithium heparin (light green-top)
Acceptable: Serum Gel
Draw blood, spin down within 2 hours of draw and send
1 mL of plasma or serum.
Note: Include patient’s age on
request form.
CPT Coding
84154- free PSA
Specimen Stability Information
|
Specimen Type |
Temperature |
Time |
|
Plasma,lithium heparin / Serum |
RT, spun |
8 hrs |
|
Refrigerated, spun |
5 days |
Reject Due To
|
Hemolysis |
Mild: |
ok |
Gross: |
ok |
|
Lipemia |
Mild: |
ok |
Gross: |
ok |
|
Icterus |
Mild: |
ok |
Gross: |
ok |
LOINC Coding
| Test Name | LOINC Code |
|---|---|
| Prostate Specific Ag. free |
10886-0 |
Reference Values
|
Age |
Total PSA (ng/mL) |
|
0 – 59 years |
< 3.9 |
|
60 – 70 years |
< 5.4 |
|
> 70 years |
< 6.2 |
FREE PSA (FRPSA)
Probability of finding prostate adenocarcinoma (PCA) on needle
biopsy when Total PSA is 4-10 ng/mL:
| % FPSA Ratio | 50-59 years | 60-69 years | >69 years |
| ≤10 | 49.2 | 57.5 | 64.5 |
| 11-18 | 26.9 | 33.9 | 40.8 |
| 19-25 | 18.3 | 23.9 | 29.7 |
| >25 | 9.1 | 12.2 | 15.8 |
Day(s) Set Up
Monday through Sunday
Methodology
Dual Monoclonal Chemiluminescent Immunoassay