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α-Fetoprotein (AFP) Tetra Profile

CPT [MAAA: 81511] or 82105; 82677; 84702; 86336
Synonyms
  • AFP Tetra
  • Alpha-Fetoprotein (AFP) Tetra Profile

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

Test Includes

α-Fetoprotein, serum; dimeric inhibin A (DIA); human chorionic gonadotropin (hCG); unconjugated estriol (uE3)

Use

Screening test for open neural tube defects (detects 80% open spina bifida, 90% anencephaly), Down syndrome (detects 75% to 80%), and trisomy 18 (detects 73%)

Special Instructions

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 (eg, prior neural tube defects, Down syndrome, ultrasound anomalies, or previous maternal serum screening specimen during this pregnancy). Complete information is necessary to interpret the test. Patient information may be provided to the laboratory using The Maternal Prenatal Screening requisition form 0900. Specimens must be collected before amniocentesis.

Down syndrome screening is offered for gestational ages 15.0 to 21.9 weeks. 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

AFP tetra is a screening test. A positive AFP tetra result means that more diagnostic testing may be offered to the pregnant woman to determine if a neural tube defect or chromosome abnormality 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.

References

Haddow JE, Palomaki GE, Knight GJ, Foster DL, Neveux LM. Second trimester screening for Down's syndrome using maternal serum dimeric inhibin A. J Med Screen. 1998; 5(3):115-119. 9795869

Specimen Requirements

Specimen

Serum

Volume

5 mL

Minimum Volume

3 mL (Note: This volume does not allow for repeat testing.)

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
017319 AFP Tetra 96451-0 017389 Results 49092-0
017319 AFP Tetra 96451-0 017320 Test Results: 49092-0
017319 AFP Tetra 96451-0 017368 Gest. Age on Collection Date WEEKS 18185-9
017319 AFP Tetra 96451-0 017369 Gestat. Age Based On 21299-3
017319 AFP Tetra 96451-0 017370 Maternal Age At EDD yr 43993-5
017319 AFP Tetra 96451-0 017371 Race 21484-1
017319 AFP Tetra 96451-0 017372 Weight lbs 29463-7
017319 AFP Tetra 96451-0 017373 Insulin Dep Diabetes 44877-9
017319 AFP Tetra 96451-0 017374 Multiple Gestation 45371-2
017319 AFP Tetra 96451-0 017375 AFP Value ng/mL 1834-1
017319 AFP Tetra 96451-0 017376 AFP MoM 23811-3
017319 AFP Tetra 96451-0 017377 hCG Value mIU/mL 19080-1
017319 AFP Tetra 96451-0 017378 hCG MoM 32166-1
017319 AFP Tetra 96451-0 017379 uE3 Value ng/mL 2250-9
017319 AFP Tetra 96451-0 017380 uE3 MoM 21264-7
017319 AFP Tetra 96451-0 017381 DIA Value pg/mL 23883-2
017319 AFP Tetra 96451-0 017382 DIA MoM 36904-1
017319 AFP Tetra 96451-0 017383 OSBR Risk 1 IN 48803-1
017319 AFP Tetra 96451-0 017384 DSR (Second Trimester) 1 IN 43995-0
017319 AFP Tetra 96451-0 017385 DSR (By Age) 1 IN 49090-4
017319 AFP Tetra 96451-0 017392 T18 Risk 43994-3
017319 AFP Tetra 96451-0 017391 T18 (By Age) 47223-3
017319 AFP Tetra 96451-0 017388 Interpretation 49092-0
017319 AFP Tetra 96451-0 018014 Comments: 8251-1
017319 AFP Tetra 96451-0 511933 PDF 11502-2
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017389
Result Code NameResults
UofM
Result LOINC49092-0
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017320
Result Code NameTest Results:
UofM
Result LOINC49092-0
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017368
Result Code NameGest. Age on Collection Date
UofMWEEKS
Result LOINC18185-9
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017369
Result Code NameGestat. Age Based On
UofM
Result LOINC21299-3
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017370
Result Code NameMaternal Age At EDD
UofMyr
Result LOINC43993-5
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017371
Result Code NameRace
UofM
Result LOINC21484-1
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017372
Result Code NameWeight
UofMlbs
Result LOINC29463-7
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017373
Result Code NameInsulin Dep Diabetes
UofM
Result LOINC44877-9
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017374
Result Code NameMultiple Gestation
UofM
Result LOINC45371-2
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017375
Result Code NameAFP Value
UofMng/mL
Result LOINC1834-1
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017376
Result Code NameAFP MoM
UofM
Result LOINC23811-3
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017377
Result Code NamehCG Value
UofMmIU/mL
Result LOINC19080-1
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017378
Result Code NamehCG MoM
UofM
Result LOINC32166-1
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017379
Result Code NameuE3 Value
UofMng/mL
Result LOINC2250-9
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017380
Result Code NameuE3 MoM
UofM
Result LOINC21264-7
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017381
Result Code NameDIA Value
UofMpg/mL
Result LOINC23883-2
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017382
Result Code NameDIA MoM
UofM
Result LOINC36904-1
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017383
Result Code NameOSBR Risk 1 IN
UofM
Result LOINC48803-1
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017384
Result Code NameDSR (Second Trimester) 1 IN
UofM
Result LOINC43995-0
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017385
Result Code NameDSR (By Age) 1 IN
UofM
Result LOINC49090-4
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017392
Result Code NameT18 Risk
UofM
Result LOINC43994-3
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017391
Result Code NameT18 (By Age)
UofM
Result LOINC47223-3
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code017388
Result Code NameInterpretation
UofM
Result LOINC49092-0
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code018014
Result Code NameComments:
UofM
Result LOINC8251-1
Order Code017319
Order Code NameAFP Tetra
Order Loinc96451-0
Result Code511933
Result Code NamePDF
UofM
Result LOINC11502-2