Inpatient and Outpatient Orderable

4K Prostate Score (Serum) Build info

Synonyms

  • 4K PROSTATE SCORE (SERUM)
  • LAB10837

Short Name

4K PROSTATE SCORE (SERUM)

Procedure Master Number

LAB10837

Procedure ID

114186

Clinical Info

High Grade (Gleason 7+) Prostate Cancer Risk Evaluation
 
Limitation an Exclusions for the 4Kscore
Do not use this test for a patient:
  1) With a previous diagnosis of prostate cancer
  2) That has received a DRE in a previous 96 hours (4Days) before phlebotomy. A DRE performed after phlebotomy is acceptable.
  3) That has received within the previous six (6) months 5-alpha reductase inbitor such as (5-ARI) therapy such as Avedaart(R) (dutasteride) or Proscar (R) (finasteride).
  4)  That has undergone within the previous six (6) months any procedure or therapy to treat symptomatic BPH or any invasive, urologic procedure that many be associated with a secondary PSA elevation prior to phlebotomy.
  5)  That is younger than 40 or older that 80 years of age.
      
  
The 4Kscore Test will not be performed with a positive biopsy result

Specimen Sources

Blood, Arterial Blood, Capillary Blood, Central Line Blood, Venous

Specimen Types

Blood

Container

Gold top tube

Collection Instructions

Container/Tube: Gold top tube
Specimen: 3 mL serum
 
 1. 1. Please indicate if the patient has a previous biopsy       [] No prior biopsy      []  Negative biopsy     [] Positive biopsy
  
 2.   DRE Results     [ ] Nodule  [ ] Normal  [ ] Not Performed
 3. Clinical Indication for ordering 4KScore Test:    
Selecting a value below confirms that the patient has two or more elevated PSA results within the past two years.     
  [  ]  45- 54 years old and total PSA >=2 ng/mL 
  [  ]  55 -75 years old and total PSA >=3 ng/mL 
  [  ]  >= 76 years old and total PSA >=4 ng/mL  

Transport Instructions

Refrigerated- If longer then 24 hours please freeze sample.

Specimen Stability

Methodology

Days Performed

TAT: 4-5 Days

Performing Laboratory

BioReference Laboratories-GenPath

CPT

81539

PDM

1759833

Only Orderable at Locations:

Orderable Everywhere

Results

Component Name Base Name Common Name External Name
4K SCORE CALCULATION 4KSCORECALC 4K SCORE CALCULATION 4K Score Calculation
NEG VAL NEGVAL NEG VAL Neg Val
T PSA BIO PSA T PSA BIO T Psa Bio
FREE PSA BIO FREEPSA FREE PSA BIO Free Psa Bio
% FREE PSA PSAFREEPCT PSA FREE PCT