Prostate

Note 1: PSA is used in conjunction with anatomic extent of disease and Gleason score to distinguish among stage I, stage IIA, and stage IIB for AJCC 7 staging.
Note 2: The same laboratory test should be used to record information in CS Site-Specific Factor 1 and CS Site-Specific Factor 2.
Note 3: Record to the nearest tenth in nanograms/milliliter (ng/ml) the highest PSA lab value documented in the medical record prior to diagnostic biopsy of prostate and treatment. The lab value may be recorded in the lab report, history and physical, or clinical statement in the pathology report, etc. For example, code a PSA of 20.0 ng/ml as 200. A lab value expressed in micrograms per liter (ug/L) is equivalent to the same value expressed in nanograms per milliliter (ng/ml). See General Rules Part I, Section 2 under Prostate for further instructions on coding PSA lab value.
Note 4: A discrepancy between the PSA documented in the lab report and the PSA documented by the clinician may arise due the clinician adjusting the PSA value. Certain medications for benign prostatic hypertrophy (BPH) decrease the PSA. Therefore, ONLY if there is documentation by a clinician within the medical record of an adjusted PSA value, record the adjusted value. The registrar does not adjust the PSA value based on BPH medication use. If there is no documentation by a clinician within the medical record of an adjusted PSA value, record the PSA value provided. The fact that an adjusted PSA value is being recorded should be documented in a text field.

Code	Description
000	OBSOLETE DATA CONVERTED V0200 See code 998 Test not done (test was not ordered and was not performed)
001	0.1 or less nanograms/milliliter (ng/ml) (Exact value to nearest tenth of ng/ml)
002-979	0.2 - 97.9 ng/ml (Exact value to nearest tenth of ng/ml)
980	98.0 ng/ml or greater
981-987	OBSOLETE DATA CONVERTED V0200 See code 980 98.1 - 98.7 ng/ml
988	Not applicable: Information not collected for this case (If this item is required by your standard setter, use of code 988 will result in an edit error.) (Cases with code 988 in CSv1 converted to code 980)
989	OBSOLETE DATA CONVERTED V0200 See code 980 98.9 ng/ml
990	OBSOLETE DATA CONVERTED V0200 Data converted to code 980 99.0 or greater ng/ml
997	Test ordered, results not in chart
998	Test not done (test not ordered and not performed)
999	Unknown or no information Not documented in patient record

CS Site-Specific Factor 1Prostatic Specific Antigen (PSA) Lab Value

CS Site-Specific Factor 1
Prostatic Specific Antigen (PSA) Lab Value