Free Fetoprotein (AFP) in Serum for Prenatal Screening
This test measures the level of free alpha-fetoprotein (AFP) in your blood, a protein produced by the fetus that helps screen for certain birth defects and chromosomal conditions during pregnancy.
["AFP screening helps identify risks for neural tube defects or other genetic conditions early in pregnancy."]
Key facts at a glance
- LOINC
- 80878-2
- Short code
- DOP Umb a Fet for pregnancy
- Synonyms
- DOP Umb a Fet for pregnancy
- Category
- chemistry
- Sample
- serum
- Container
- Red-top tube (SST)
- Units
- N/A
- Critical range
- 0.5 N/A – —
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- us-doppler
- CPT
- 86592
- 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
Why This Test Is Done
Your healthcare provider may recommend this test during your first or second trimester to check for potential birth defects, such as spina bifida or other neural tube defects, or to assess risks for chromosomal abnormalities like Down syndrome. It’s often part of a broader prenatal screening process.
What to Expect Before the Test
You’ll typically have a simple blood draw from a vein in your arm. No special preparation is needed, but inform your provider if you’re on blood-thinning medications or have a history of bleeding disorders.
What the Results Mean
Results are usually interpreted alongside other prenatal tests (like nuchal translucency screening or maternal blood tests). Elevated levels may signal higher risk for certain birth defects, while very low levels could raise concerns for other conditions. Your provider will discuss findings with you.
Common Reasons for Testing
This test is commonly ordered when you’re pregnant to monitor fetal development and identify potential risks early. It’s especially recommended if you’re at higher risk due to factors like maternal age, family history, or previous pregnancy complications.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Short name
Free AFP Screening
Frequently asked questions
How often does this test cause false positives or negatives?
What should I do if my AFP level is outside the expected range?
Is this test covered by insurance?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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 17, 2026. · Read our editorial policy