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Alpha-Fetoprotein, Serum/Plasma — Interpretive Result, Immunoassay

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

An AFP blood test measures a protein associated with fetal development, liver disease, and certain tumors. It is often used alongside other findings rather than as a stand-alone diagnosis.

Quick summary

["An abnormal AFP result may reflect liver disease, pregnancy, or another condition and should be interpreted with your other test results."]

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

Key facts at a glance

LOINC
41274-2
Short code
AFP Interp SerPl-Imp
Synonyms
AFP Interp SerPl-Imp
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0
Ref high
10
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82105
SNOMED
394971007
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

Alpha-fetoprotein, or AFP, is a protein made mainly by the developing fetal liver and by certain other tissues. This test measures the amount of AFP in serum or plasma from a blood sample.

Why might I need this test?

AFP may help evaluate liver disease and can assist with monitoring people who have been treated for certain liver or germ-cell tumors. It may also be measured during pregnancy in certain circumstances.

How is the test performed?

A healthcare professional draws blood from a vein. The serum or plasma sample is analyzed in the laboratory using an immunoassay, and the result is reported with an interpretation when appropriate.

How do I prepare for the test?

No special preparation is usually required for a routine AFP blood test, but follow any instructions from your healthcare provider or laboratory. Tell the care team if you are pregnant because pregnancy can affect the AFP level.

Reference range

Normal: <10 ng/mLN/A

Specimen: serum

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.

An elevated AFP may occur with liver inflammation or damage, pregnancy, and certain cancers, including some liver and germ-cell tumors. A low AFP is less specific and may occur in many people, including some with liver disease. Because AFP can rise or fall for reasons other than cancer, an abnormal result alone does not diagnose a tumor; your clinician will interpret it with your medical history, examination, and other tests.

Short name

Alpha-Fetoprotein (AFP) blood test

Frequently asked questions

Does an abnormal AFP result mean I have cancer?
No. AFP can be changed by liver disease, pregnancy, and several noncancerous conditions. Cancer is diagnosed or monitored using the overall clinical picture and supporting tests, not AFP alone.
Why might my AFP level be monitored over time?
Clinicians may use repeated AFP measurements to follow liver disease or to monitor treatment for certain tumors. Trends are often more informative than a single result.
Does pregnancy affect the AFP result?
Yes. AFP normally changes during pregnancy, so pregnancy status and the stage of pregnancy are important when interpreting the result. Your clinician may also recommend testing such as a screening ultrasound or a more specific AFP measurement.
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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