ALPHA-FETOPROTEIN TRIPLE SCREEN (TRIPLE MARKER SCREEN)

General Information

HLAB/HOL Code: ALFP3
UPHSM LIS Test #: 6339
Schedule: Sunday - Saturday
Testing Time: Same day
Testing Lab: Quest Valencia

Specimen Info
Only 1 specimen type required, unless otherwise specified

Volume: 3.0 (1.5) mL
Temperature: Refrigerate
Tube Type: Serum
Collection Info:
Collect specimen between 14 to 22 weeks gestation. Icteric or grossly hemolyzed specimens are not acceptable.
Split serum into two tubes and ship on cold pack. If not shipped immediately, samples should be frozen.
SPECIAL INSTRUCTIONS: Must include: Gestational age, LMP, Weight, Race, Insulin dependent, number of fetuses, and initial or
repeat screen.

Methods

Immunochromatographic Membrane Assay

Clinical Utilities

Screening for indication of fetal anomalities including Down syndrome (DS) and Neural Tube Defects (NTD).

CPT Codes

81510

* The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding
is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Reference Range

OPEN SPINA BIFIDA Negative
TRISOMY 18 SCREEN Negative
AFP MoM <2.00 MoM
Down Syndrome Risk Negative