Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Order Display Name: Geisinger Epic Procedure Code Or ID CPT Code:  

PROSTATE HEALTH INDEX, REFLEX

ORDERING INFORMATION:
Geisinger Epic Procedure Code: LAB2927         Geisinger Epic ID: 49218

SPECIMEN COLLECTION
Specimen type:
Serum
Preferred collection container:
Specimen required:
1.0 mL aliquot of serum; minimum 0.75 mL.
Patient preparation:
  1. Specimens for testing should be drawn prior to prostate manipulations such as digital rectal examination (DRE), prostatic massage, transrectal ultrasound (TRUS), and prostatic biopsy.
  2. 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.

SPECIMEN PROCESSING
Specimen processing instructions:
Spin down within 3 hours of collection and separate serum from cells. 
Transport temperature:
Frozen.
Specimen stability:
150 days.
Rejection criteria:
Collection in serum-separator tube (SST). Received room temperature or refrigerated. Gross hemolysis. Grossly icteric.

TEST DETAILS
Additional information:
This test begins with the analysis of prostate-specific antigen (PSA). If the PSA is between 2.0 and 10.0 ng/mL, then the reflex test (PHI13) will be performed. If the initial PSA is between 2.0 and 10.0 ng/mL, then free PSA and [-2]ProPSA will be reported. If the initial PSA is between 4.0 and 10.0 ng/mL, then the percent free PSA and prostate health index (phi) will be calculated and reported. If the initial PSA is between 2.0 and 4.0 ng/mL, then the percent free PSA and prostate health index (phi) will not be calculated or reported.
CPT code(s):
84153 (possible reflex to 84154 and 86316)
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Methodology:
Immunoenzymatic Assay
Synonyms:
P2PSA, PHI, Pro-2-PSA. Quest code 36372. Mayo test code PHI11
PHIS

Performing Locations

Quest Diagnostics

Technical Lead: Michael Weaver    
Frequency: Monday-Saturday. Report available 3 days.    
Performed stat? No
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