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Clarity for Your Prostate Cancer Journey

Decipher® Prostate is a genomic test that provides clear, personalized information to help you and your doctor choose the treatment plan that is right for you.

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Home > Decipher Prostate > Patients > Decipher Prostate Overview

Watch this short video to learn how the Decipher Prostate test can help you and your doctor make more confident and informed treatment decisions

What is Decipher Prostate?

  • Decipher Prostate is a tissue-based genomic test that provides important information about the underlying biology of your tumor.
  • Testing is performed on existing prostate tissue from either your biopsy or radical prostatectomy (surgery to remove the prostate). No additional medical procedure is required.
  • Decipher Prostate examines the expression of 22 genes that can help identify tumors that are more likely to spread outside the prostate.
  • The result is your Decipher score (from 0.0 to 1.0).
    A lower score reflects a less aggressive tumor, while
    a higher score reflects a more aggressive tumor.
  • Speak with your doctor to see if Veracyte’s Decipher Prostate Genomic Classifier is appropriate for you.

How Decipher Prostate Fits into the Prostate Cancer Patient Journey

How is Patient Risk Determined in Prostate Cancer?

  • A patient’s risk of their prostate cancer spreading is determined by several factors that include: how aggressive the cancer looks under the microscope (Gleason Score), the amount of cancer in the prostate (imaging), and the result of their prostate-specific antigen (PSA) blood test.
  • This information is used to place the patient into a risk group (low, intermediate, or high) and help identify appropriate treatment options.
  • The answers to key questions such as who to treat, when to treat, and how much to treat are not always clear based on these factors alone. More information can help determine the best management plan.

What is Tumor Genomic Testing?

Tumor genomic testing looks at genes, how they are interrelated, and their expression or activity within the cancerous tissue. This can help determine the behavior of the disease, such as its aggressiveness.

*It is important to note that the test is not performed on tissue from metastatic lesions.

My Doctor has already Ordered Decipher Prostate

If your doctor has already ordered Decipher testing, your sample is currently being processed. Once the genomic analysis is complete, the test report will be sent directly to your doctor. If you have any questions about Decipher testing, please speak with your doctor or contact our Client Services team at [email protected]

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Doctor orders Decipher Test

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Decipher handles tissue procurement, processing, and analysis as well as billing to insurance

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Decipher report is generated and sent to ordering physician

Is Decipher Prostate Covered by Medicare and Commercial Insurance?

Decipher Prostate is covered by Medicare for all beneficiaries with localized and metastatic prostate cancer

Decipher Prostate is included in national guidelines and covered by major commercial insurance plans throughout the U.S.

Financial support may be available to eligible patients via the Veracyte Access Program

Decipher Prostate Patient Resources

Decipher Prostate Patient Brochure

Veracyte Access Form

Decipher Prostate Patient Video

Don’t see what you’re looking for?

Visit the Patient Resources page for the Patient Brochure in other languages or leave us a message on the contact form.

Frequently Asked Questions

How can the Decipher Prostate test be ordered?

The Decipher Prostate test must be ordered by the doctor treating the patient.

What is tumor genomic testing?

Tumor genomic testing looks at genes, how they are interrelated, and their expression or activity within the cancerous tissue. This can help determine the behavior of the disease, such as its aggressiveness.

Who can I speak to if I have questions about billing?

We are committed to ensuring access to all eligible patients. Click here for more information about our Veracyte Access Program.
For questions related to billing and insurance, please reach out to Veracyte’s billing team at [email protected] or call us at 1.888.792.1601.

What does my Decipher Prostate test report look like?

Decipher Prostate tests (Biopsy, Radical Prostatectomy, or Metastatic) are designed to support risk stratification and clinical decision-making. The first page of each report provides the patients Decipher score, corresponding genomic risk group (low, intermediate, or high for localized disease; lower or higher for metastatic disease), interpretation language, and risk estimates for prostate cancer-specific outcomes. The second page includes additional clinical context and detailed data specific to the individual patient.

How do I get a copy of my test result? 

Your Decipher report may be requested from your doctor. If you have questions, please email [email protected]

Is the Decipher Prostate Genomic Classifier or Decipher Bladder Genomic Classifier FDA cleared?  

The Decipher Prostate and Bladder tests are available as part of Veracyte’s Clinical Laboratory Improvement Amendments (CLIA)-validated laboratory developed test (LDT) service. FDA approval or clearance is not required for the Decipher Prostate or Bladder tests.

Veracyte Labs SD, which performs Decipher testing is accredited/licensed by the following:

  • College of American Pathologists
  • Centers for Medicare and Medicaid Services (CMS) CLIA
  • California Department of Public Health
  • New York State Department of Health
  • Pennsylvania Department of Health
  • State of Rhode Island and Providence Plantations Department of Health Center for Health Facilities Regulation
  • Maryland Department of Health, Office of Health Care Quality
Can the Decipher Prostate Genomic Classifier or Decipher Bladder Genomic Classifier be ordered if I live outside the United States?

Currently, Decipher testing is only available to patients within the United States through Veracyte’s CLIA-validated laboratory service. We are actively exploring opportunities to expand access to Decipher testing internationally in the coming years. If you are located outside the U.S. and are interested in Decipher testing, please fill out our contact us form to let us know.

How Can We Help

Please leave a message and a representative will reach out shortly to help answer your questions

Decipher Genomic Testing is available only through a physician’s order. Talk to your doctor about whether Decipher might be right for you.

Contact Details

Call us at:

1.888.792.1601
1.858.766.6575 (fax)

Customer service inquiries:

[email protected]

Billing inquiries:

[email protected]
1.888.792.1601