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Free Fetoprotein (AFP) in Serum for Prenatal Screening

Published: August 9, 2026Updated: August 17, 2026

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.

Quick summary

["AFP screening helps identify risks for neural tube defects or other genetic conditions early in pregnancy."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

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?
AFP screening has a high sensitivity for detecting neural tube defects but may not be 100% accurate. False positives or negatives can occur, so results are always reviewed in the context of other prenatal tests and clinical findings. Your provider will guide you on next steps based on the outcome.
What should I do if my AFP level is outside the expected range?
If your AFP level is elevated or very low, your healthcare team may recommend additional testing, such as an amniocentesis or ultrasound, to further evaluate risks. Follow-up will depend on your specific results and overall pregnancy health.
Is this test covered by insurance?
Most prenatal care services, including AFP screening, are covered by insurance under standard pregnancy-related benefits. However, confirm with your insurance provider to confirm coverage details, especially if you have specific questions about out-of-pocket costs.
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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 17, 2026. · Read our editorial policy