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ALPHA-FETOPROTEIN, Maternal Serum (087-3750, 087-3744, 087-0041)

Synonyms: AFP, Maternal Serum AFP, MS-AFP, Down's Syndrome screening, Triple Screen

CPT 4 Codes: 82105, 84702, 82677  Limited Coverage Test NCD)

Test Order Mnemonic: AFP-MS1

Test Includes: Downs Syndrome screening (AFP), Serum b-hCG and Estriol.

Applies To: Screening test for neural tube defects (anencephaly, spina bifida) and Downs Syndrome of the fetus in pregnant women between 14 and 21 weeks gestation. For use as a tumor marker, see Alpha-Fetoprotein, serum.

Lab: Clinical Chemistry

Request Form: Routine Chemistry Form 2

Patient Preparation: Blood should be drawn before amniocentesis

Collection: Routine venipuncture

Storage Instructions: Keep samples refrigerated until delivered to laboratory.

Causes for Rejection: Hemolysis

Availability: Samples are accepted 24 hours per day at Sample Management, Room 5.136, McCullough.

Turnaround Time: Routine: 48 hours. Samples delivered to the lab by 9 AM on Tuesdays and Thursdays are complete by 5 PM the same day.

Special Instructions: In neural tube defect screening and Downs Syndrome screening, a Patient Information Form for AFP Testing which includes age, race, weight, insulin dependence, and gestation must be completed.

Specimen: Blood

Volume: 5 mL blood

Minimum Volume: 0.6 mL serum

Container: red-topped tube or gel separator tube (SST)

Reference Ranges: For pregnancy ranges consult the laboratory

Test Method: Chemiluminescence

Revised April 2007 by P. Harris

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