Prostate Health Index
(Reflexed from PSA values between 2.0 and 10.0 ng/mL)
Tube Type
| Test ID |
|
LAB11185 |
EPIC Order
|
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PROSTATE HEALTH INDEX |
| CPT Code(s) |
|
84153, 84154, and 86316 (if appropriate) |
| Group/Individual Test |
|
Group |
| Laboratory |
|
Core Referral Testing |
| Tube Station |
|
30 |
| Specimen |
Routine: |
4 mL blood/red plain tube only /NO gold SST; See Comments |
| |
Micro: |
2.5 mL blood |
| Availability |
Routine: |
Reference Laboratory - Mayo Clinic Laboratories |
| Turnaround Time |
|
3-5 Days |
| Reference Range |
Normal: |
See Separate Report |
| Comments: |
- Sample must be spun down, separated from the cells and frozen within 3 hours of collection.
- Specimens should not be collected from patients receiving therapy with high biotin (vitamin B7) doses until at least 8 hours following the last biotin administration.
- Specimens for testing should be drawn prior to prostate manipulations such as digital rectal examination (DRE), prostatic massage, transrectal ultrasound (TRUS), and prostatic biopsy.
- 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 d [-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.
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The sample must be spun down, separated from the cells,
