Alpha-Fetoprotein, Tumor Marker

Test Code
237


Alias/See Also
LAB559


CPT Codes
82105

Preferred Specimen
1 mL serum


Minimum Volume
0.5 mL


Instructions
Administration of STRENSIQ may interfere in certain assays and may falsely elevate values. For patients receiving STRENSIQ, consideration should be given to using alternate methods.


Transport Container
Serum separator tube (SST)


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 14 days
Refrigerated: 14 days
Frozen: 45 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Grossly lipemic


Methodology
Immunoassay (IA)

Setup Schedule
Tues-sat


Limitations
Patients who have received monoclonal mouse antibodies may have abnormal results. For any patient taking a high dose of biotin, the specimen should be drawn at least eight hours after the last dose.


Reference Range
  Male (ng/mL) Female (ng/mL)
<1 Month* 0.5-16387.0 0.5-18964.0
1-11 Months 0.5-28.3 0.5-77.0
1-3 Years 0.5-7.9 0.5-11.1
>3 Years <6.1 <6.1
*Pediatric range is based on full term neonates, values for premature infants may be higher.
The use of AFP as a tumor marker in pregnant females is not recommended.


Clinical Significance

Elevation of serum AFP above values found in healthy individuals occurs in several malignant diseases, most notably nonseminomatous testicular cancer and primary hepatocellular carcinoma. AFP is not recommended as a screening procedure to detect cancer in the general population.



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.