AFP Maternal Serum 5059

Test Code
AFP MAT SERUM


Alias/See Also
AFP MAT SERUM


CPT Codes
82105

Includes
AFP, Maternal Risk Interpretation


Preferred Specimen
1 mL serum collected in a serum separator tube (SST®)


Minimum Volume
1


Other Acceptable Specimens
Red-top tube (no gel)


Instructions
Enter all patient information. Specimen should be drawn between 14-22.9 wks gestation


Transport Container
SST


Transport Temperature
R


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
Set up: Mon-Sat; Report available: 3-5 days


Limitations
MSAFP results consistent with increased risk of NTD may be followed-up with appropriate diagnostic testing as detailed in the report. MSAFP does not screen for chromosomal abnormalities.


Reference Range
AFP MoM:  
NTD <2.50
IDD <1.90
TWINS <4.00
TWINS IDD <3.50
TRIPLETS <4.50


Clinical Significance
Maternal serum alpha-fetoprotein (MSAFP) is used for prenatal screening. Maternal serum Alpha-Fetoprotein (AFP) elevation is associated with open neural tube defects, multiple gestation, placental anomalies, ventral abdominal wall defects, congenital nephrosis, and oligohydramnios. Follow-up for abnormal AFP results include genetic counseling, level II or III ultrasound examination and consideration of amniocentesis for chromosome and AFP analysis. MSAFP is not to be used as a screening test for chromosomal abnormalities.


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.