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Alpha-Fetoprotein (AFP) Tumor Marker, Serum/Plasma — Concentration

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

A blood test that measures alpha-fetoprotein (AFP), a protein that may rise in liver disease and certain cancers.

Quick summary

["AFP can help evaluate liver disease and support the evaluation or monitoring of certain cancers, but the result must be interpreted with other findings."]

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

Key facts at a glance

LOINC
53961-9
Short code
AFP-TM SerPl-aCnc
Synonyms
AFP-TM SerPl-aCnc
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85610
SNOMED
396252006
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?

This test measures the amount of alpha-fetoprotein (AFP) in serum or plasma. AFP is a protein made mainly by the liver and certain fetal tissues. It is commonly used as a tumor marker, although it is not specific for cancer.

Why might I need this test?

Your clinician may order this test to help evaluate liver disease, investigate a suspected cancer, or monitor certain liver and germ-cell tumors. It may also be used alongside imaging and other laboratory tests rather than as a stand-alone diagnosis.

How is the test performed?

A blood sample is collected from a vein and sent to a laboratory. The laboratory uses a laboratory method to measure the AFP concentration in the serum or plasma.

How do I prepare for the test?

Fasting is not usually required for this test, but your clinician may give specific instructions. Tell the healthcare team if you are pregnant, because AFP is normally higher during pregnancy, and if you recently had liver surgery or another procedure involving the liver.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

An elevated AFP level may occur with liver damage or cirrhosis and with certain cancers, including hepatocellular carcinoma and some germ-cell tumors. AFP can also be increased during pregnancy, so results require careful interpretation. An isolated abnormal result does not establish a cancer diagnosis and is usually assessed with symptoms, imaging, and other tests.

Short name

AFP tumor marker blood test

Frequently asked questions

Does an elevated AFP level mean I have cancer?
No. Elevated AFP can result from several noncancerous conditions, including chronic liver disease and pregnancy. Your clinician will interpret the result with your medical history, examination, imaging, and other tests.
Is the AFP test the same as a liver function test?
No. AFP measures a specific protein associated with liver activity and certain tumors, while a liver function panel measures several substances that reflect liver function. These tests may be ordered together.
How is AFP used to monitor cancer?
Clinicians may use AFP levels over time along with imaging and symptoms to assess whether a tumor is responding to treatment or has recurred. Changes in AFP must be interpreted in the context of the individual patient's situation.
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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