Test Directory

Test Code
SAFPM
Test Name
Maternal Serum Screen, Alpha Fetoprotein
CPT Codes
82105
Included Tests
  • OSBR Risk 1 IN
  • AFP Value
  • AFP MoM
  • Interpretation
Expected Turnaround Time
2 - 5 days
Clinical Utility

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.

Specimen and Container Info

Specimen Type: Serum

Collection Container: Gold Top, Serum Separator

Desired Specimen Volume: 3 mL

Collection Instructions
  1. 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. Collect specimen within these time frames.
  2. Collect a gold top, serum separator tube via venipuncture.
Processing and Submission Instructions
  1. Allow blood to clot, avoiding hemolysis.
  2. Separate serum from cells.
  3. Transport 3 mL of serum in the original collection tube. Do not aliquot. Pour-off is not advised.
Patient Preparation
  • Specimens must be collected before amniocentesis to avoid contamination with fetal blood
  • 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

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.

Alternate Names
  • AFP, Maternal Serum
  • Alpha-Fetoprotein (AFP), Maternal Serum for Open Spina Bifida
  • Maternal Serum α-Fetoprotein
  • msAFP
Reference Lab
Labcorp Of America Holdings
Testing Schedule
Monday-Friday