Prostate Specific Antigen, Total with Reflex to Free PSA (Includes Free Percentage)
0080264
Ordering Recommendation
Do not use for initial prostate cancer screening; preferred test is total prostate specific (PSA) antigen (0070121) in conjunction with digital rectal exam (DRE). May be useful in distinguishing cancer from benign conditions in patients with mildly elevated total PSA and negative DRE.
Submit With Order
Mnemonic
TPSAR
Methodology
Quantitative Electrochemiluminescent Immunoassay
Performed
Sun-Sat
Reported
Within 24 hours
New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation
 
Collect
Plasma separator tube or serum separator tube. Also acceptable: Plain red, green (sodium or lithium heparin), lavender (EDTA), or pink (K2EDTA).  
Specimen Preparation
Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)  
Storage/Transport Temperature
Frozen.  
Unacceptable Conditions
Grossly hemolyzed specimens. Vaginal washings.  
Remarks
 
Stability
After separation from cells: Ambient: 8 hours; Refrigerated: 48 hours; Frozen: 3 months  
Reference Interval
Refer to report.
Test Number Components Reference Interval
Prostate Specific Antigen, Total 0.0-​4.0 ng/mL
Prostate Specific Antigen, Free By report
Prostate Specific Antigen Percent Free By report
Interpretive Data
Note
If PSA Total is between 3.0-10.0 ng/mL, then Free PSA testing will be added. Additional charges apply.

The Free PSA percentage is calculated using results of the Total and Free PSA tests.
CPT Code(s)
84153; if reflexed, add 84154
Components
Component Test Code*Component Chart Name
0080286Prostate Specific Antigen, Reflex
0080287Prostate Specific Antigen, Free, Reflex
0080288Prostate Specific Antigen-Pct Free, Rflx
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Cross References
  • Free PSA
  • Free Ratio Reflex
  • PSA Free/Total Ratio
  • PSA ratio
  • PSA Total
  • PSA Total and Free
  • Total PSA