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prostate specific antigen, differential
Synonyms: PSA, Differential 
Computer Code: PSAP
Specimen Collection: 5 mL blood (red or gold top tube). 
Minimum Volume: 5 mL 
Handling Instructions for Offsite Areas: Allow to clot, centrifuge for 20 minutes, refrigerate. 
Reference Values: Includes: PSA, Total - PSA, Free - Ratio. See Addendum VI for interpretation. See Addendum VI  
Lab Code: SI 
Requisition: SEROL
Test Frequency: 2/week 
Routine TAT: 3-4 days 
Stat TAT: NA 
CPT Code(s): 84154, 84153 
LCD or NCD: (NCD) http://www.cms.hhs.gov/mcd/index_section.asp?ncd_sections=40 
Methodology Used: 77
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 11/26/2014
Time: 23:18:50 (24hr)