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Test Directory

Prostate Health Index Reflex, Serum

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

Centrifuge, aliquot serum into plastic vial, and refrigerate serum within 3 hours of collection. 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: NA
  • Refrigerated: NA
  • Frozen: 150 DAYS

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

Serum separator tube

Order Code

PHIPSA

EPIC (Premier) Code

LAB6187

Includes

N/A

CPT Code

  • 84153

Billing Code

  • 655011

CPT Statement

Methodology

Immunoassay (IA)

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

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

Centrifuge, aliquot serum into plastic vial, and refrigerate serum within 3 hours of collection. 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: NA
  • Refrigerated: NA
  • Frozen: 150 DAYS

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

Serum separator tube

Billing

CPT Code

  • 84153

Billing Code

  • 655011

CPT Statement

Result Information

Methodology

Immunoassay (IA)

Testing Laboratory

N/A

Reference Range

N/A

Setup Schedule / Expected Turnaround Time

Monday - Saturday; Report available: 1 - 3 days