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Alprenalserplccnc

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

A blood test that measures the level of alkaline phosphatase, an enzyme found in your liver, bones, and other tissues.

Quick summary

{"ALP is an enzyme produced mainly by the liver and bones","High ALP levels may indicate liver disease or bone disorders","The test is performed on a simple blood sample","Normal levels vary by age, gender, and blood type","Your doctor will interpret results based on your overall health"}

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

Key facts at a glance

LOINC
1782-2
Short code
ALP
Synonyms
ALP Renal SerPl-cCnc
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or plain red top tube
Units
not specified
Ref low
44
Ref high
147
Critical range
— – 500 not specified
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
Colorimetric assay using p-nitrophenyl phosphate substrate
CPT
84075
SNOMED
271587001
Specimen volume
1-3 mL of serum
Stability
Room temperature: 7 days; Refrigerated (2-8°C): 7 days; Frozen (-20°C): 3 months
Hemolysis max
50
Lipemia max
300
Icterus max
20
TAT
1–4 hours
Order
routine

What is this test?

The Alkaline Phosphatase (ALP) test measures the amount of ALP enzyme in your blood. ALP is produced by various tissues in your body, including the liver, bones, intestines, and kidneys. This test is commonly part of a routine blood panel called a comprehensive metabolic panel (CMP) or liver panel.

Why is it important?

ALP levels can help doctors evaluate the health of your liver and detect bone disorders. Since ALP is found in high concentrations in the liver and bones, abnormal levels may signal problems in these areas. The test is often ordered when patients have symptoms like abdominal pain, jaundice (yellowing of skin/eyes), bone pain, or unexplained fatigue.

How is the test performed?

A healthcare professional will draw a small blood sample from a vein in your arm. The sample is then sent to a laboratory for analysis. You typically do not need to fast before this test, though your doctor may instruct you otherwise based on your specific situation.

What do the results mean?

Normal ALP levels vary depending on age, sex, and blood type. Generally, adult normal ranges are between 20 to 140 IU/L (international units per liter), but this can vary by laboratory. Higher than normal ALP levels are more common and may indicate liver problems (such as hepatitis, cirrhosis, or bile duct obstruction), bone disorders (such as Paget's disease or osteomalacia), or other conditions. Lower than normal ALP levels are less common but may indicate malnutrition, zinc deficiency, or certain genetic disorders.

Reference range

44-147 U/Lnot specified

Specimen: serum

No fasting or special preparation required

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings2

Frequently asked questions

Do I need to fast before the ALP test?
Typically, no fasting is required for an ALP test. However, you should follow any specific instructions provided by your doctor or laboratory. Some laboratories may recommend fasting for 8-12 hours if other tests are being performed simultaneously.
What happens if my ALP level is high?
A high ALP level doesn't always mean you have a serious condition. Your doctor will likely order additional tests, such as GGT (gamma-glutamyl transferase) or bilirubin tests, to help determine whether the elevation is from liver or bone origin. They will also consider your symptoms and medical history.
Can lifestyle affect ALP levels?
Yes, certain factors can influence ALP levels. Heavy alcohol use can damage the liver and elevate ALP. Smoking may also affect liver enzyme levels. Maintaining a healthy lifestyle with proper nutrition can help keep ALP levels within normal range.
Is the ALP test safe?
Yes, the ALP test is a standard blood test with minimal risks. You may experience slight bruising or soreness at the injection site, and in rare cases, fainting or infection may occur.
Why do children have higher ALP levels?
Children and adolescents normally have higher ALP levels because their bones are actively growing. This is completely normal and not a cause for concern. ALP levels typically decrease to adult ranges once bone growth slows or stops.
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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