Prostate Health Index Reflex, Serum
Order Code: PHIPSA
Test Summary
As an aid in distinguishing prostate cancer from benign prostatic conditions in men aged 50 years and older with total PSA between 4.0 and 10.0 ng/mL and digital rectal examination findings that are not suspicious for cancer.
Aliases
- Mayo code PHI11
- P2PSA
- Pro-2-PSA
Specimen Collection
Special Instructions
N/A
Preferred Specimen
1 ml serum from a red top tube
Minimum Volume
0.75 mL
Instructions
Within 3 hours of collection, centrifuge, aliquot serum into a plastic vial, and refrigerate. Freeze sample within 24 hours of collection and send frozen.
Patient Preparation
1. Specimens for testing should be collected prior to prostate manipulations such as digital rectal examination (DRE), prostatic massage, transrectal ultrasound (TRUS), and prostatic biopsy. 2. A 6-week waiting period between needle biopsy and specimen collection is recommended. 3. Specimens should not be collected from patients receiving therapy with high biotin (vitamin B7) doses (ie, >5 mg/day) until at least 8 hours following the last biotin administration.
Storage
Plastic screw-cap vial
Transport Temperature
Frozen
Specimen Stability
- Room Temperature: 24 hours
- Refrigerated: 24 hours
- Frozen: 150 days
Limitations
N/A
Other Acceptable Specimens
N/A
Unacceptable Specimens
Serum separator tube, gross hemolysis, gross icteric
Order Code
PHIPSA
EPIC (Premier) Code
LAB6187
Includes
N/A
CPT Code
- 84153
- reflex to 84154
- 86316 at an additional charge
Billing Code
- 650036
CPT Statement
Methodology
Immunoenzymatic Assay
FDA Status
This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.
Physician Attestation of Informed Consent
N/A
Testing Laboratory
Mayo Clinic Laboratories -- Rochester Superior Drive
3050 Superior Drive NW
Rochester MN, 55901
3050 Superior Drive NW
Rochester MN, 55901
Department
Reference Testing
Reference Range
N/A
Setup Schedule / Expected Turnaround Time
Monday - Saturday; Report available: 1 - 3 days
Specimen Collection
Special Instructions
N/A
Preferred Specimen
1 ml serum from a red top tube
Minimum Volume
0.75 mL
Instructions
Within 3 hours of collection, centrifuge, aliquot serum into a plastic vial, and refrigerate. Freeze sample within 24 hours of collection and send frozen.
Patient Preparation
1. Specimens for testing should be collected prior to prostate manipulations such as digital rectal examination (DRE), prostatic massage, transrectal ultrasound (TRUS), and prostatic biopsy. 2. A 6-week waiting period between needle biopsy and specimen collection is recommended. 3. Specimens should not be collected from patients receiving therapy with high biotin (vitamin B7) doses (ie, >5 mg/day) until at least 8 hours following the last biotin administration.
Storage
Plastic screw-cap vial
Transport Temperature
Frozen
Specimen Stability
- Room Temperature: 24 hours
- Refrigerated: 24 hours
- Frozen: 150 days
Limitations
N/A
Other Acceptable Specimens
N/A
Unacceptable Specimens
Serum separator tube, gross hemolysis, gross icteric
Billing
CPT Code
- 84153
- reflex to 84154
- 86316 at an additional charge
Billing Code
- 650036
CPT Statement
Result Information
Methodology
Immunoenzymatic Assay
Testing Laboratory
N/A
Reference Range
N/A
Setup Schedule / Expected Turnaround Time
Monday - Saturday; Report available: 1 - 3 days