LCDActive
Prostate Cancer Detection with IsoPSA®
L39284
Effective: November 6, 2025
Updated: December 31, 2025
Policy Summary
IsoPSA® is covered for men aged 50 and older with a confirmed moderately elevated PSA (>4 to ≤25 ng/mL) who are suitable candidates for prostate biopsy. PSA elevation must be reverified after a few weeks under standardized conditions in a CLIA-approved laboratory, and testing is not indicated for men with less than a 10-year life expectancy or other contraindications to biopsy.
Coverage Criteria Preview
Key requirements from the full policy
"Men age >=50 with a confirmed moderately elevated PSA (>4 and <=25 ng/mL)."
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