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

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

Measures the amount of alpha-fetoprotein in blood. It may help evaluate certain liver and germ-cell tumors and is often interpreted with other tests.

Quick summary

["An AFP result is one piece of information that must be interpreted alongside your symptoms, examination, and other laboratory findings."]

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

Key facts at a glance

LOINC
53962-7
Short code
AFP-TM SerPl-mCnc
Synonyms
AFP-TM SerPl-mCnc
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?

Alpha-fetoprotein, or AFP, is a protein made by certain fetal and liver cells. This blood test measures its concentration in serum or plasma and may be used as a tumor marker.

Why might I need this test?

Your clinician may order AFP to help evaluate a liver mass, investigate possible cancer elsewhere in the body, or monitor treatment for certain liver or germ-cell tumors. AFP can also be measured during pregnancy screening, although pregnancy changes the expected pattern.

How is the test performed?

A blood sample is collected from a vein, usually in the arm. The laboratory measures the amount of AFP in the serum or plasma using an immunoassay or another validated method.

How do I prepare for the test?

Fasting is usually not required, but follow any instructions provided by your clinician or laboratory. Tell the healthcare team if you are pregnant because this can affect how the result is interpreted.

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 certain liver and germ-cell tumors, but it can also result from benign liver disease, other medical conditions, or pregnancy. A decreased or changing AFP level may provide information when monitoring known disease. An abnormal result alone does not establish a cancer diagnosis and must be interpreted with imaging, symptoms, and other laboratory tests.

Short name

Alpha-Fetoprotein (AFP)

Frequently asked questions

Does an elevated AFP level mean I have cancer?
No. AFP can be elevated for reasons other than cancer, including benign liver disease and pregnancy. Your clinician will interpret the result with your medical history, examination, and other tests.
Do I need to fast before this test?
Fasting is usually not necessary for an AFP blood test. Follow any specific preparation instructions from your healthcare provider or laboratory.
Why does my clinician check AFP more than once?
Repeated measurements can show whether AFP is rising, falling, or staying stable. This may help monitor a tumor or the effectiveness of treatment.
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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