Alpha-Fetoprotein, Amniotic Fluid and Reflex to AchE and Fetal Hgb

Test Code
232


CPT Codes
82106

Includes
If the AFP MoM is ≥2.0, then Acetylcholinesterase and Fetal Hemoglobin, Amniotic Fluid will be performed at an additional charge (CPT code(s): 82664, 83033).


Preferred Specimen
3 mL amniotic fluid collected in a sterile transport tube


Minimum Volume
1.5 mL


Instructions
Avoid contaminating the fluid with blood.

Note: This test is automatically performed on all Alpha-Fetoprotein amniotic fluids when the MoM is greater than 1.99


Transport Container
Sterile transport tube


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 14 days
Refrigerated: 21 days
Frozen: 1 year


Methodology
Gel Electrophoresis • Immunoassay (IA) • Immunodiffusion (ID)

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

This test code is for non-New York patient testing. For New York patient testing, use test code 17850.

Setup Schedule
Mon-fri


Report Available
4 days


Reference Range
Multiple of the Median ≤1.99


Clinical Significance
Elevated AFP concentrations in amniotic fluid provide laboratory support for the diagnosis of Neural Tube Lesion in the fetus.


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042




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.