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Prostate-Specific Antigen (PSA) by Immunoassay (Screening)

Published: August 9, 2026Updated: August 17, 2026

This blood test measures the level of prostate-specific antigen (PSA), a protein produced by the prostate gland. It helps screen for or monitor prostate health, including early signs of prostate cancer.

Quick summary

["PSA tests help detect potential prostate issues early, supporting timely medical evaluation."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
68924-0
Short code
CA72-4-PF
Synonyms
Cancer Ag72-4 Prt-aCnc
Category
chemistry
Sample
serum
Container
Sterile, leak-proof container for peritoneal fluid collection; red-top or serum separator tube if serum is also collected
Units
N/A
Ref low
72
Ref high
4
Critical range
0.5 N/A – —
Fasting
false
Population
adult
Sex
all
Age range
18–99 years
Method
Immunoassay (chemiluminescent or electrochemiluminescent immunoassay)
CPT
86316
SNOMED
395692008
Specimen volume
1-2 mL of peritoneal fluid
Stability
Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days; Avoid repeated freeze-thaw cycles
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
24–72 hours
Order
routine

Why This Test Is Done

Your doctor may recommend a PSA test if you have symptoms like urinary changes, pain in the pelvic area, or if you’re at higher risk due to age, family history, or ethnicity. It’s also used to monitor treatment progress in men with known prostate conditions.

What to Expect Before the Test

No special preparation is needed, but avoid ejaculation for 2–3 days before the test. Wear comfortable clothing and plan to stay for about 15 minutes while the blood is drawn.

What the Test Results Mean

PSA levels vary by age, health, and other factors. While higher levels may raise concern, they don’t always indicate cancer. Your doctor will interpret results in the context of your medical history and symptoms.

Common Causes of Elevated PSA

Elevated PSA can result from prostate inflammation (prostatitis), benign enlargement (BPH), or other conditions. It’s important to discuss any concerns with your healthcare provider.

Reference range

Reference range for CA 72-4 in peritoneal fluid is not well-established; serum reference value is typically <6.0 U/mL. Elevated levels in peritoneal fluid may suggest peritoneal involvement by malignancy.N/A

Specimen: serum

No special patient preparation required. Inform the laboratory if patient is receiving monoclonal antibody therapy or has recently undergone surgery, as these may affect results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: PSA Testing in Prostate Health

Short name

PSA Screening

Frequently asked questions

What might cause my PSA level to be higher than expected?
Higher PSA levels can be caused by prostate inflammation, benign growths, or, less commonly, early prostate cancer. Your doctor will review your results alongside other factors, like symptoms and imaging, to guide next steps.
How often should I get a PSA test if I have no symptoms?
If you’re asymptomatic, the frequency depends on your age, risk factors (e.g., family history), and doctor’s recommendation. Regular check-ups help monitor changes over time.
Does diet or medications affect PSA levels?
Certain foods (e.g., cruciferous vegetables) or medications (e.g., finasteride) may influence PSA levels temporarily. Always discuss any changes with your healthcare provider before interpreting results.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy