PSA, DIAGNOSTIC

Test ID
1025781601
Test Name
PSA, DIAGNOSTIC
Test Report Name
PSA, DIAGNOSTIC
Test Synonyms
PSA, DX
Collection Requirements

Shipping and Handling Instructions
Centrifuge and send to lab
Notes

Last Edit Instant
10/9/2023 1:01 PM
Last Edit Reason
TRE Updated via Data Courier
Test Information

Orderable

Procedure Name	Procedure Code/ID	Procedure Display Name	MPI Type^MPI ID	Default Specimen Type	Orderable?	Performable?
PSA, DIAGNOSTIC	LABPSD		STAREAP^113|12900 RECORD ID^10236371|30700 RECORD ID^73874|12900 RECORD ID^10236373|12900 RECORD ID^10214100	BLOOD	Yes	Yes

Lab

Authorized Lab	Section	Container Type	Default Container Type?	Temperature	Volume	Method	Priority	Turnaround Time (Minutes)	Expiration Time (Minutes)
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA CH 1	ASAP	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA CH 2	ASAP	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	APTIO	ASAP	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA ADM	ASAP	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA IM 1	ASAP	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA IM 2	ASAP	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA CH 1	STAT	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA CH 2	STAT	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	APTIO	STAT	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA ADM	STAT	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA IM 1	STAT	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA IM 2	STAT	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA CH 1	Routine	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA CH 2	Routine	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	APTIO	Routine	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA ADM	Routine	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA IM 1	Routine	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA IM 2	Routine	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA CH 1	Add-On	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA CH 2	Add-On	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	APTIO	Add-On	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA ADM	Add-On	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA IM 1	Add-On	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA IM 2	Add-On	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA CH 1	Timed	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA CH 2	Timed	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	APTIO	Timed	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA ADM	Timed	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA IM 1	Timed	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA IM 2	Timed	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA CH 1	Research	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA CH 2	Research	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	APTIO	Research	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA ADM	Research	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA IM 1	Research	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA IM 2	Research	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA CH 1	Research	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA CH 2	Research	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	APTIO	Research	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA ADM	Research	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA IM 1	Research	No TAT	2880
MHH LABORATORY CORE	CHEMISTRY	SST	Yes	FRIG	.12	ATELLICA IM 2	Research	No TAT	2880

Component

Report Type	LRR ID	Component Name	Abbrev	Data Type	Units	Decimal Places/Precision (N)	Cat. INI (C)	Cat. Item (C)	Base Name	Common Name	External Name	LOINC	TRE ID	Parameter Summary	Method	Container Type	Species	Sex	Age (From)	Age Units (From)	Age (To)	Age Units (To)	Specimen Source	Organism Genus	Organism Species	Organism Group	Extension	Result Checking Type	Low (N)	High (N)	Numeric Range (N)	Match Logic (MC)	Values (C/S)	Delta - Applicable Low Value (N)	Delta - Applicable High Value (N)	Delta - Applicable Range (N)	Delta - Change (N)	Delta - Direction (N)	Delta - From (C)	Delta - To (C)	Delta - Look Back Days	Delta - Look Back Results	Override - Ref. Range & Abn	Override - Reportable Flag	Override - Accreditation Status	Ref Range Display Text
Don't report	5161	HEMOLYSIS CHECK		Number					HEMOLYSISCK	HEMOLYSIS CHECK			5272		~	~	~	~	~	~	~	~	~	~	~	~	~	Valid Checking [1.1]	0	6	0-6
Don't report	5160	ICTERIC CHECK		Number					ICTERICCK	ICTERIC CHECK			5271		~	~	~	~	~	~	~	~	~	~	~	~	~	Valid Checking [1.1]	0	6	0-6
Don't report	5159	LIPEMIA CHECK		Number					LIPEMIACK	LIPEMIA CHECK			5270		~	~	~	~	~	~	~	~	~	~	~	~	~	Valid Checking [1.1]	0	6	0-6
Report	5111	PROSTATIC SPECIFIC ANTIGEN, TOTAL		Number	ng/ml	2			PSATOTAL	PSA, TOTAL		2857-1	5207	Female | 0 up to 999 Years	~	~	~	Female	0		999	Years	~	~	~	~	~	Reference Range		0.10	<0.10
Report	5111	PROSTATIC SPECIFIC ANTIGEN, TOTAL		Number	ng/ml	2			PSATOTAL	PSA, TOTAL		2857-1	5207	Female | 0 up to 999 Years	~	~	~	Female	0		999	Years	~	~	~	~	~	Valid Checking [1.1]	0.04	5000.00	0.04-5000.00
Report	5111	PROSTATIC SPECIFIC ANTIGEN, TOTAL		Number	ng/ml	2			PSATOTAL	PSA, TOTAL		2857-1	5207	Female | 0 up to 999 Years	~	~	~	Female	0		999	Years	~	~	~	~	~	Abnormality - Abnormal [2.2]		0.10	>=0.10
Report	5111	PROSTATIC SPECIFIC ANTIGEN, TOTAL		Number	ng/ml	2			PSATOTAL	PSA, TOTAL		2857-1	5207	Male | 0 up to 50 Years	~	~	~	Male	0		50	Years	~	~	~	~	~	Reference Range		2.50	<2.50
Report	5111	PROSTATIC SPECIFIC ANTIGEN, TOTAL		Number	ng/ml	2			PSATOTAL	PSA, TOTAL		2857-1	5207	Male | 0 up to 50 Years	~	~	~	Male	0		50	Years	~	~	~	~	~	Valid Checking [1.1]	0.04	5000.00	0.04-5000.00
Report	5111	PROSTATIC SPECIFIC ANTIGEN, TOTAL		Number	ng/ml	2			PSATOTAL	PSA, TOTAL		2857-1	5207	Male | 0 up to 50 Years	~	~	~	Male	0		50	Years	~	~	~	~	~	Abnormality - Abnormal [2.2]		2.50	>=2.50
Report	5111	PROSTATIC SPECIFIC ANTIGEN, TOTAL		Number	ng/ml	2			PSATOTAL	PSA, TOTAL		2857-1	5207	Male | 50 Years up to 60 Years	~	~	~	Male	50	Years	60	Years	~	~	~	~	~	Reference Range		3.50	<3.50
Report	5111	PROSTATIC SPECIFIC ANTIGEN, TOTAL		Number	ng/ml	2			PSATOTAL	PSA, TOTAL		2857-1	5207	Male | 50 Years up to 60 Years	~	~	~	Male	50	Years	60	Years	~	~	~	~	~	Valid Checking [1.1]	0.04	5000.00	0.04-5000.00
Report	5111	PROSTATIC SPECIFIC ANTIGEN, TOTAL		Number	ng/ml	2			PSATOTAL	PSA, TOTAL		2857-1	5207	Male | 50 Years up to 60 Years	~	~	~	Male	50	Years	60	Years	~	~	~	~	~	Abnormality - Abnormal [2.2]		3.50	>=3.50
Report	5111	PROSTATIC SPECIFIC ANTIGEN, TOTAL		Number	ng/ml	2			PSATOTAL	PSA, TOTAL		2857-1	5207	Male | 60 Years up to 70 Years	~	~	~	Male	60	Years	70	Years	~	~	~	~	~	Reference Range		4.50	<4.50
Report	5111	PROSTATIC SPECIFIC ANTIGEN, TOTAL		Number	ng/ml	2			PSATOTAL	PSA, TOTAL		2857-1	5207	Male | 60 Years up to 70 Years	~	~	~	Male	60	Years	70	Years	~	~	~	~	~	Valid Checking [1.1]	0.04	5000.00	0.04-5000.00
Report	5111	PROSTATIC SPECIFIC ANTIGEN, TOTAL		Number	ng/ml	2			PSATOTAL	PSA, TOTAL		2857-1	5207	Male | 60 Years up to 70 Years	~	~	~	Male	60	Years	70	Years	~	~	~	~	~	Abnormality - Abnormal [2.2]		4.50	>=4.50
Report	5111	PROSTATIC SPECIFIC ANTIGEN, TOTAL		Number	ng/ml	2			PSATOTAL	PSA, TOTAL		2857-1	5207	Male | 70 Years up to 999 Years	~	~	~	Male	70	Years	999	Years	~	~	~	~	~	Reference Range		6.50	<6.50
Report	5111	PROSTATIC SPECIFIC ANTIGEN, TOTAL		Number	ng/ml	2			PSATOTAL	PSA, TOTAL		2857-1	5207	Male | 70 Years up to 999 Years	~	~	~	Male	70	Years	999	Years	~	~	~	~	~	Valid Checking [1.1]	0.04	5000.00	0.04-5000.00
Report	5111	PROSTATIC SPECIFIC ANTIGEN, TOTAL		Number	ng/ml	2			PSATOTAL	PSA, TOTAL		2857-1	5207	Male | 70 Years up to 999 Years	~	~	~	Male	70	Years	999	Years	~	~	~	~	~	Abnormality - Abnormal [2.2]		6.50	>=6.50

Chargeable

Chargeable Name	Chargeable Code/ID	Chargeable Display Name	Chargeable CPT Code	Chargeable Quantity
HB PROSTATE SPECIFIC ANTIGEN TOTAL	30100224		84153	1