Test Directory

Test Code
MQUAD
Test Name
Maternal Quad Screen
CPT Codes
81511
Included Tests
  • hCG Value
  • hCG MoM
  • uE3 Value
  • DIA MoM
  • DSR (By Age) 1 IN
  • AFP Value
  • T18 Risk
  • T18 (By Age)
  • DSR (Second Trimester) 1 IN
  • AFP MoM
  • uE3 MoM
  • DIA Value
  • OSBR Risk 1 IN
  • Interpretation
Expected Turnaround Time
2 - 5 days
Clinical Utility

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%).

Specimen and Container Info

Specimen Type: Serum

Collection Container: Gold Top, Serum Separator

Desired Specimen Volume: 5 mL

Collection Instructions
  1. Collect a gold top, serum separator tube via venipuncture
    • 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.
Processing and Submission Instructions
  1. Allow blood to clot, avoiding hemolysis. 
  2. Separate serum from cells.
  3. Transport 5 mL of serum in the original collection container. Do not aliquot. Pour-off is not advised. 
Patient Preparation
  • Maternal serum specimens must be drawn prior to amniocentesis to avoid contamination with fetal blood.
  • 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.
Transport Instructions

Transport to the laboratory refrigerated. 

Stability Requirements

Room Temperature

7 days

Refrigerated

14 days

Frozen

14 days

Freeze/Thaw Cycles

 Stable x3

Causes for Rejection
  • Gross hemolysis
  • Gross lipemia
  • Quantity not sufficient for analysis
  • Improper specimen type
Methodology
Chemiluminescent Immunoassay
Reference Intervals

 See patient report.

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.

Alternate Names
  • AFP Tetra
  • Alpha-Fetoprotein (AFP) Tetra Profile
Reference Lab
Labcorp Of America Holdings
Testing Schedule
Routine, daily