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Prostate-Specific Antigen (PSA) Gene Mutation Test, Blood

Published: August 9, 2026Updated: August 16, 2026

A blood-based genetic test that checks for certain DNA variants associated with increased prostate cancer risk; it is not the same as the standard PSA blood test.

Quick summary

["This test looks for inherited DNA changes that may increase prostate cancer risk, but it does not diagnose cancer or measure PSA protein levels."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
21730-7
Short code
PSAP gene Mut Tested Bld/T
Synonyms
PSAP gene Mut Tested Bld/T
Category
tumor-marker
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
0
Ref high
4
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
molgen
CPT
84153
SNOMED
39392002
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

This is a genetic test performed on blood that looks for certain DNA variants associated with prostate cancer susceptibility. It differs from the routine prostate-specific antigen test, which measures the amount of PSA protein in blood.

Why might I need this test?

It may be considered when prostate cancer runs in a family, when a relative has an inherited cancer-related gene variant, or when a clinician wants to assess inherited prostate cancer risk. It may also help guide genetic counseling and screening discussions.

How is the test performed?

A blood sample is collected, and its DNA is analyzed for selected genetic variants. The exact genes and variants included depend on the laboratory and the test ordered.

How do I prepare for the test?

No special preparation is usually required, and fasting is generally unnecessary. Because this is not the routine PSA screening test, you may not need to stop finasteride or dutasteride. Follow the instructions provided by the ordering clinician or laboratory.

Reference range

Normal: <4.0 ng/mLN/A

Specimen: whole-blood

No special preparation required. For PSA, avoid sexual activity for 24-48 hours before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A detected cancer-associated variant may indicate an inherited tendency to develop prostate cancer or another associated cancer. It does not mean that cancer is present or will definitely develop. A negative result does not eliminate all genetic risk, and a variant of uncertain significance may not provide a clear risk estimate.

Short name

PSA gene mutation test

Frequently asked questions

Is this the same as a routine PSA test?
No. A routine PSA test measures PSA protein in blood, while this test examines selected DNA variants. Your clinician can explain which type of testing is appropriate for you.
Does a positive result mean I have prostate cancer?
No. It means a particular genetic variant was detected and may increase inherited cancer risk. Further evaluation, sometimes including genetic counseling, may be recommended.
Will the test detect every genetic cause of prostate cancer?
No. It checks only the variants included by the laboratory, and other genetic or nongenetic factors can still affect risk. Discuss the test's limitations with a clinician or genetic counselor.
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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 16, 2026. · Read our editorial policy