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Test Code PHI11M Prostate Health Index Reflex, Serum

Additional Codes

Epic EAP Mayo Code
LAB3751 PHI11


Specimen Required


Patient Preparation:

1. Specimens for testing should be collected prior to prostate manipulations such as digital rectal examination, prostatic massage, transrectal ultrasound, 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.

Supplies: Sarstedt Aliquot Tube 5 mL (T914)

Collection Container/Tube: Red top (serum gel/SST are not acceptable)

Submission Container/Tube: Plastic vial

Specimen Volume: 1 mL

Collection Instructions: Within 3 hours of collection, centrifuge, aliquot serum into a plastic vial, and refrigerate. Freeze sample within 24 hours of collection and send frozen.


Useful For

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

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
PHI13 Prostate Health Index (phi) Reflex No No

Method Name

Immunoenzymatic Assay

Reporting Name

Prostate Health Index Reflex, S

Specimen Type

Serum Red

Specimen Minimum Volume

0.75 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum Red Frozen (preferred) 150 days
  Ambient  24 hours
  Refrigerated  24 hours

Reject Due To

Gross hemolysis Reject
Gross icterus Reject

Day(s) Performed

Monday through Saturday

Report Available

1 to 3 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

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.

CPT Code Information

84153 - Total PSA

84154 - Free PSA (if appropriate)

86316 - [-2]ProPSA (if appropriate)

LOINC Code Information

Test ID Test Order Name Order LOINC Value
PHI11 Prostate Health Index Reflex, S 53764-7

 

Result ID Test Result Name Result LOINC Value
PHI12 Prostate Specific Antigen, S 83112-3

Forms

If not ordering electronically, complete, print, and send an Oncology Test Request (T729) with the specimen.