Alphafetoprotein, Maternal

Test Code
LAB692


Preferred Specimen
Serum drawn in short SST 3.5 mL


Minimum Volume
1 full 3.5 mL SST Container


Instructions
Routine venipuncture. 3.5 mL Gold top serum separator tube. 
The State has specified and asked us to only use this tube for the AFP. 


Transport Container
Transport spun SST original 3.5 mL container


Transport Temperature
Room Temp
Keep specimen at room temperature, do not refrigerate or freeze.


Specimen Stability
Send spun in Gold top serum separator tube.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Tubes labled with anything other than the label from the State of California AFP Program Requisition. Insufficent Quantity; Tube larger than short 3.5 mL SST


Methodology
Referred to: State of California AFP Program/Allied Labs

Setup Schedule
Daily


Report Available
Varies. Report will be sent directly to the authorizing provider from the CA State AFP program. No results will post on the lab order in the information system.


Clinical Significance
Maternal serum alpha-fetoprotein (MSAFP) screening test:
AFP is a protein produced mainly in the fetal liver and released into the maternal serum 
(MSAFP) and amniotic fluid. A small amount crosses the placenta and becomes measurable in 
the maternal serum towards the end of the first trimester. Levels rise steadily through the second 
trimester. In most fetuses affected with open spina bifida or anencephaly, an increased amount 
of MSAFP enters the amniotic fluid. It subsequently causes a higher-than-expected level of 
MSAFP in the maternal serum.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.