AFP, Maternal Serum

Message
Performing Lab: Central Lab


Test Code
3363


Alias/See Also
Sunquest: AFP


CPT Codes
82105

Preferred Specimen
0.3 mL Serum Separator (gold-top) tube


Minimum Volume
0.2 mL


Other Acceptable Specimens
Red, Red/Gray


Instructions
Ordering:
This test provides a risk for Open Neural Tube Defects (ONTD) only. If risks for Down Syndrome and Trisomy 18 are desired, please order Epic code 3777 (Prenatal Quad Screen).
Collection:
Sample must be collected between 15-20 completed weeks gestation. The Opitmal time to collect the sample is between 16-18 weeks gestation.
Samples should be collected prior to the initiation of amniocentesis as increased levels of AFP may occur following amniocentesis.
Processing:
Must be frozen at -20 degrees C if not tested within 48 hours of collection.


Transport Temperature
Refrigerated


Specimen Stability
Refrigerated: 48 hours


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Plasma is not an acceptable specimen type
Gross Hemolysis
Specimen not frozen within 48 hours of collection


Methodology
Chemiluminescence

Setup Schedule
Tuesday, Wednesday, Friday


Report Available
Same day


Reference Range
No elevated risk for Open Neural Tube Defects


Clinical Significance
Measurement of AFP in maternal serum can be used to help identify pregnancies at increased risk for open neural tube defects.




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.