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Alpintestserplccnc

Published: July 31, 2026Updated: August 10, 2026

A blood test that measures the level of intestinal alkaline phosphatase, an enzyme produced by the intestines that helps with digestion and gut health.

Quick summary

{"Intestinal alkaline phosphatase is an enzyme made by the cells lining your intestines","This test helps doctors evaluate digestive system health and function","Elevated or decreased levels may indicate intestinal disorders or other health conditions","The test is performed on a blood sample collected from a vein in your arm","Results are typically available within a few days"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 10, 2026Editorial policy

Key facts at a glance

LOINC
1778-0
Short code
ALP-I, ALP-INT
Synonyms
ALP Intest SerPl-cCnc
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or plain red top tube
Units
not specified
Ref low
0
Ref high
20
Fasting
false
Population
adult
Sex
all
Age range
≥ 18 years
Method
Spectrophotometry using p-nitrophenyl phosphate (pNPP) substrate at 405 nm
CPT
84075
SNOMED
31301002
Specimen volume
0.5-1.0 mL of serum minimum
Stability
Room temperature: 2-3 days; Refrigerated (2-8°C): 5-7 days; Frozen (-20°C): 2-3 weeks
Hemolysis max
50
Lipemia max
300
Icterus max
20
TAT
4–24 hours
Order
routine

What is this test?

The intestinal alkaline phosphatase (ALP) test measures the amount of a specific type of alkaline phosphatase enzyme that comes from your intestines. Alkaline phosphatase is actually a group of enzymes found in different tissues throughout your body, including the liver, bones, and intestines. This test specifically looks at the intestinal form.

Why is it important?

Intestinal alkaline phosphatase plays several important roles in your body: it helps digest nutrients in your food, maintains the health of your intestinal lining, and helps protect against harmful bacteria and toxins in your gut. When the intestines are damaged or diseased, they may release more or less of this enzyme into your bloodstream, which can help doctors identify problems.

How is the test performed?

A healthcare professional will draw a small sample of blood from a vein in your arm using a needle. The blood is collected into a tube and sent to a laboratory for analysis. You do not need to fast before this test unless your doctor instructs otherwise. The procedure only takes a few minutes and is generally well-tolerated.

What do the results mean?

Normal ranges can vary depending on the laboratory and individual factors such as age and overall health. Your doctor will interpret your results in context with your overall health and other test findings. Both high and low levels can provide important information about your digestive health.

Reference range

0-20 U/Lnot specified

Specimen: serum

Overnight fasting preferred; nonfasting may elevate intestinal ALP postprandially (esp. blood group O/B secretors)

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings2

Frequently asked questions

Do I need to fast before this test?
Fasting is not typically required for the intestinal alkaline phosphatase test. However, always follow your doctor's specific instructions, as they may recommend fasting if other tests are being done at the same time.
Is this test painful?
You may feel a brief pinch or mild discomfort when the needle is inserted to draw blood. This is generally well-tolerated and the discomfort goes away quickly. Some people may experience slight bruising at the injection site afterward.
How long does it take to get results?
Results are typically available within 1-3 days, depending on the laboratory. Your doctor's office will contact you with the results or discuss them at your follow-up appointment.
What is the difference between intestinal ALP and regular ALP?
Total ALP measures all forms of the enzyme in your blood, including versions from the liver, bones, and intestines. The intestinal ALP test specifically measures only the portion that comes from your intestines, helping doctors pinpoint exactly where a problem might be occurring.
Can medications affect my test results?
Certain medications and supplements may affect ALP levels. Always inform your doctor about all medications, vitamins, and supplements you are taking before the test.
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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 10, 2026. · Read our editorial policy