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Alpha-Fetoprotein, Amniotic Fluid — Immunoassay, Mass Concentration

Published: August 9, 2026Updated: August 16, 2026

Measures alpha-fetoprotein in amniotic fluid to help evaluate certain fetal abnormalities, including neural tube defects and some chromosomal conditions.

Quick summary

["This test measures AFP in amniotic fluid; abnormal results may suggest a fetal condition but require confirmation."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
83075-2
Short code
AFP Amn IA-mCnc
Synonyms
AFP Amn IA-mCnc
Category
liver
Sample
fluid
Container
Sterile tube
Units
N/A
Ref low
0
Ref high
10
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ia
CPT
82105
SNOMED
394971007
Specimen volume
2-5 mL
Stability
Room temperature: 2h, Refrigerated: 24h
Hemolysis max
300
TAT
4–24 hours
Order
routine

What is this test?

Alpha-fetoprotein, or AFP, is a protein made by the developing fetus. This test measures the amount of AFP in amniotic fluid, the protective fluid surrounding the fetus.

Why might I need this test?

It may be ordered when prenatal screening suggests a possible neural tube defect or chromosomal condition, or when a clinician wants more detailed information about a pregnancy. It is generally used as an additional evaluation rather than as a stand-alone diagnosis.

How is the test performed?

A clinician obtains a small sample of amniotic fluid, usually during an amniocentesis procedure. A laboratory measures AFP in the fluid using an immunoassay, a method that detects and quantifies the protein.

How do I prepare for the test?

No special food or medication preparation is needed for the AFP measurement itself. The amniotic fluid must be collected by a healthcare professional, so your clinician will explain the procedure, its risks, and any specific instructions.

Reference range

Normal: <10 ng/mLN/A

Specimen: fluid

No special preparation required. For PSA, avoid sexual activity for 24-48 hours before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Higher-than-expected AFP levels may occur with open neural tube defects and some other fetal abnormalities. Lower-than-expected levels can be associated with certain chromosomal conditions, including Down syndrome. Results should be interpreted with the ultrasound findings, gestational age, and other prenatal tests because AFP alone cannot confirm a diagnosis.

Short name

Amniotic fluid AFP

Frequently asked questions

Does an abnormal AFP result mean the fetus has a condition?
No. An abnormal AFP result suggests that further evaluation may be needed, but it does not by itself confirm a fetal abnormality. Your clinician will consider it along with ultrasound and other test results.
How is amniotic fluid obtained?
A clinician usually performs amniocentesis by inserting a thin needle through the abdomen under ultrasound guidance to collect amniotic fluid. The procedure and its risks should be discussed with your clinician beforehand.
Is this the same as the maternal serum AFP screening test?
No. This test measures AFP directly in amniotic fluid, while maternal serum AFP screening measures AFP in the mother's blood. They are related but are not interchangeable.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy