Skip to main content

α-Fetoprotein (AFP), Maternal Serum for Open Spina Bifida

CPT 82105
Synonyms
  • AFP, Maternal Serum
  • Alpha-Fetoprotein (AFP), Maternal Serum for Open Spina Bifida
  • Maternal Serum α-Fetoprotein
  • msAFP

Test Details

Methodology

Chemiluminescent immunoassay

Result Turnaround Time

2 - 5 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Related Documents

Use

Screening test for open neural tube defects. Detects 80% of open spina bifida and 90% of anencephaly. Please note that this test does not provide screening for Down syndrome or trisomy 18.

Special Instructions

This test screens for open spina bifida. This test does not screen for Down syndrome or trisomy 18. The following information must be provided: gestational age, date on which the patient was the stated gestational age, how gestational age was determined (LMP, EDD, US), patient's weight, patient's date of birth, patient's race (white, black, other), and insulin-dependent diabetic status. Also indicate relevant patient history, such as prior neural tube defects, ultrasound anomalies, or previous maternal serum screening during this pregnancy. Complete information is necessary to interpret the test. Patient information may be provided to the laboratory using the Maternal Prenatal Screening request form (0900). Specimens must be collected before amniocentesis.

Open spina bifida screening is offered for gestational ages 15.0 to 23.9 weeks. The optimal gestational age for open spina bifida screening is 16.0 to 18.9 weeks.

Limitations

MS-AFP is a screening test. This test does not screen for Down syndrome or trisomy 18. A positive result means that more diagnostic testing may be offered to the pregnant woman to determine if a neural tube defect is present.

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.

Specimen Requirements

Specimen

Serum

Volume

3 mL

Minimum Volume

0.5 mL

Container

Gel-barrier tube

Collection Instructions

Collect in serum separator tube with gel barrier. Allow blood to clot, avoiding hemolysis. Separate serum from cells by centrifugation. Transport spun tube to testing laboratory.

Pour-off is not advised. Maternal serum specimens must be drawn prior to amniocentesis to avoid contamination with fetal blood.

Stability Requirements

Temperature

Period

Room temperature

7 days

Refrigerated

14 days

Frozen

14 days

Freeze/thaw cycles

Stable x3

Storage Instructions

Room temperature

Causes for Rejection

Gross hemolysis; gross lipemia; quantity not sufficient for analysis; improper specimen type

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
010801 AFP, Serum, Open Spina Bifida 48802-3 017004 Results N/A
010801 AFP, Serum, Open Spina Bifida 48802-3 017998 Test Results: 41274-2
010801 AFP, Serum, Open Spina Bifida 48802-3 017961 Gest. Age on Collection Date weeks 18185-9
010801 AFP, Serum, Open Spina Bifida 48802-3 017963 Gestat. Age Based On 21299-3
010801 AFP, Serum, Open Spina Bifida 48802-3 017991 Maternal Age At EDD yr 43993-5
010801 AFP, Serum, Open Spina Bifida 48802-3 017992 Race 21484-1
010801 AFP, Serum, Open Spina Bifida 48802-3 017993 Weight lbs 29463-7
010801 AFP, Serum, Open Spina Bifida 48802-3 017994 Insulin Dep Diabetes 44877-9
010801 AFP, Serum, Open Spina Bifida 48802-3 017995 Multiple Gestation 45371-2
010801 AFP, Serum, Open Spina Bifida 48802-3 017964 AFP Value ng/mL 1834-1
010801 AFP, Serum, Open Spina Bifida 48802-3 017965 AFP MoM 20450-3
010801 AFP, Serum, Open Spina Bifida 48802-3 017997 OSBR Risk 1 IN 48803-1
010801 AFP, Serum, Open Spina Bifida 48802-3 018006 Interpretation 49246-2
010801 AFP, Serum, Open Spina Bifida 48802-3 018013 Comment: N/A
010801 AFP, Serum, Open Spina Bifida 48802-3 511933 PDF 11502-2
Order Code010801
Order Code NameAFP, Serum, Open Spina Bifida
Order Loinc48802-3
Result Code017004
Result Code NameResults
UofM
Result LOINCN/A
Order Code010801
Order Code NameAFP, Serum, Open Spina Bifida
Order Loinc48802-3
Result Code017998
Result Code NameTest Results:
UofM
Result LOINC41274-2
Order Code010801
Order Code NameAFP, Serum, Open Spina Bifida
Order Loinc48802-3
Result Code017961
Result Code NameGest. Age on Collection Date
UofMweeks
Result LOINC18185-9
Order Code010801
Order Code NameAFP, Serum, Open Spina Bifida
Order Loinc48802-3
Result Code017963
Result Code NameGestat. Age Based On
UofM
Result LOINC21299-3
Order Code010801
Order Code NameAFP, Serum, Open Spina Bifida
Order Loinc48802-3
Result Code017991
Result Code NameMaternal Age At EDD
UofMyr
Result LOINC43993-5
Order Code010801
Order Code NameAFP, Serum, Open Spina Bifida
Order Loinc48802-3
Result Code017992
Result Code NameRace
UofM
Result LOINC21484-1
Order Code010801
Order Code NameAFP, Serum, Open Spina Bifida
Order Loinc48802-3
Result Code017993
Result Code NameWeight
UofMlbs
Result LOINC29463-7
Order Code010801
Order Code NameAFP, Serum, Open Spina Bifida
Order Loinc48802-3
Result Code017994
Result Code NameInsulin Dep Diabetes
UofM
Result LOINC44877-9
Order Code010801
Order Code NameAFP, Serum, Open Spina Bifida
Order Loinc48802-3
Result Code017995
Result Code NameMultiple Gestation
UofM
Result LOINC45371-2
Order Code010801
Order Code NameAFP, Serum, Open Spina Bifida
Order Loinc48802-3
Result Code017964
Result Code NameAFP Value
UofMng/mL
Result LOINC1834-1
Order Code010801
Order Code NameAFP, Serum, Open Spina Bifida
Order Loinc48802-3
Result Code017965
Result Code NameAFP MoM
UofM
Result LOINC20450-3
Order Code010801
Order Code NameAFP, Serum, Open Spina Bifida
Order Loinc48802-3
Result Code017997
Result Code NameOSBR Risk 1 IN
UofM
Result LOINC48803-1
Order Code010801
Order Code NameAFP, Serum, Open Spina Bifida
Order Loinc48802-3
Result Code018006
Result Code NameInterpretation
UofM
Result LOINC49246-2
Order Code010801
Order Code NameAFP, Serum, Open Spina Bifida
Order Loinc48802-3
Result Code018013
Result Code NameComment:
UofM
Result LOINCN/A
Order Code010801
Order Code NameAFP, Serum, Open Spina Bifida
Order Loinc48802-3
Result Code511933
Result Code NamePDF
UofM
Result LOINC11502-2