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Acheserplccnc

Published: August 9, 2026Updated: August 10, 2026

This test measures the activity of acetylcholinesterase enzyme in your blood to help diagnose certain conditions or exposure to toxic substances.

Quick summary

{"Acetylcholinesterase is an enzyme that helps nerve cells communicate","Low levels may indicate exposure to certain pesticides or nerve agents","The test is performed on a blood sample taken from a vein","Results help doctors diagnose organophosphate poisoning, liver disease, or certain blood disorders"}

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

Key facts at a glance

LOINC
1710-3
Short code
ACHE
Synonyms
AChE SerPl-cCnc
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or plain red top tube
Units
N/A
Ref low
5320
Ref high
12900
Critical range
2000 N/A – —
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Spectrophotometric enzymatic assay (Ellman method)
CPT
82013
SNOMED
313295004
Specimen volume
1.0-2.0 mL serum
Stability
Room temperature: 48 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C): 30 days
Hemolysis max
50
Lipemia max
100
Icterus max
20
TAT
24–72 hours
Order
routine

What is this test?

The acetylcholinesterase (AChE) test measures the amount and activity of the acetylcholinesterase enzyme in your blood. This enzyme is found primarily in red blood cells and is essential for breaking down acetylcholine, a chemical that helps nerve cells send signals to muscles and other nerves.

Why do I need this test?

Your doctor may order this test if they suspect you have been exposed to organophosphate or carbamate pesticides, which are chemicals that can inhibit acetylcholinesterase activity. It may also be used to help diagnose certain liver diseases, blood disorders like anemia, or to monitor recovery after pesticide poisoning.

How is the test performed?

A healthcare professional will draw a small blood sample from a vein in your arm using a needle. The blood is collected into a tube and sent to a laboratory for analysis. You may experience brief discomfort or a small bruise at the needle site.

How should I prepare?

Generally, no special preparation is needed for this test. However, always follow your doctor's instructions. Tell your doctor about any medications, supplements, or pesticides you may have been exposed to recently, as these can affect the test results.

Reference range

5,320 - 12,900 U/L (reference range may vary by laboratory method)N/A

Specimen: serum

No special preparation required. Fasting is not necessary for this test. Avoid strenuous exercise before sample collection as it may temporarily affect enzyme levels.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Is the test dangerous?
The test involves a routine blood draw, which carries minimal risks including slight pain, bruising, or rarely, infection at the puncture site.
How long does it take to get results?
Results are typically available within 1-3 days, depending on the laboratory.
What do low AChE levels mean?
Low levels may indicate recent exposure to organophosphate or carbamate pesticides, certain liver diseases, or nutritional deficiencies. Your doctor will interpret the results based on your medical history and other test findings.
Can medications affect my results?
Yes, certain medications including some antidepressants, muscle relaxants, and eye drops may affect acetylcholinesterase activity. Always inform your doctor about all medications you are taking.
Do I need to fast before this test?
Fasting is typically not required for this test, but follow your healthcare provider's specific instructions.
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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