This requisition can be used for sending testing performed by the Michigan Center for Translational Pathology (MCTP) Molecular Testing Laboratory, which includes PCA3, MPS (MyProstateScore), and Circulating Tumor Cells by CellSearch.

A signed Advance Beneficiary Notice of Non-coverage (ABN) form must accompany any samples sent for PCA3 or MPS testing from Medicare patients when MLabs will be billing Medicare or the patient.