Alpha Fetoprotein

Test Code
AFPF


Alias/See Also
AFP


CPT Codes
82105

Preferred Specimen
Serum: (Gold)


Other Acceptable Specimens
Serum (Red) or Gold (SST) or Orange (OJ) or Tiger Top Serum


Instructions
Separate serum from blood cells within 2 hours of collection.
NOTE: Maternal serum samples should be obtained between 15 and 20 weeks of gestation. Valid measurements of AFP in maternal serum CANNOT be made after amniocentesis. Maternal serum samples MUST be drawn PRIOR to amniocentesis. A reliable AFP evaluation for prenatal testing requires precise determination of the gestational age. Underestimation of the gestational age may lead to a false positive determination, while over estimation of gestational age may result in a false negative interpretation. When gestational age is uncertain, confirmation with ultrasonography is indicated. 
 


Specimen Stability

Serum: Allow serum specimen to clot completely. Centrifuge. Within two hours after centrifugation, transfer 500 µL of cell-free sample to a storage tube. Tightly stopper the tube immediately. Store samples tightly stoppered at room temperature (15 to 30°C) for up to eight hours. >8 hours, refrigerate the samples at 2 to 8°C. >48 hours, freeze at -20°C or colder. Thaw samples only once.




Methodology
Beckman AU

Setup Schedule
24x7


Report Available
1 day


Reference Range
Serum:  0-8.0 ng/mL


Clinical Significance
1.  To help diagnose and monitor therapy for certain cancers of the liver, testes, or ovaries

2.  For pregnant women, to assess the risk of having a baby with certain chromosomal disorders, such as Down syndrome (trisomy 21) or Edwards syndrome (trisomy 18), or open neural tube defects, such as spina bifida. 


Performing Laboratory
CRMC Laboratory



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.