ALPHA-FETOPROTEIN TRIPLE SCREEN (TRIPLE MARKER SCREEN)
Marquette General Health System

General Info

Alpha Code

  A5624

MGH LIS Test No

  5624

Schedule

  Monday-Saturday

Testing Time

  1-3 days

Testing Lab

  Specialty Labs, Inc.

QORR Test Code

  A5624

Specimen Info

Type

  Serum  

Volume

  3.0 (1.5) mL

Temperature

  Refrigerate

Preservative

   

Collection Info

  Collect specimen between 14-22 weeks gestation. Icteric or grossly
hemolyzed specimens are not acceptable.  Split serum into two
tubes ans ship on cold pack.
MUST INCLUDE:  Gestational age, LMP, Weight, Race, Insulin
dependent, number of fetuses.
 
Specimen Acceptability

Methods
MEIA

Clinical Utilities
Screening for indication of fetal anomalities including Down syndrome (DS) and Neural Tube Defects (NTD).

CPT Codes
82105, 82677, 84702

Reference Range
OPEN SPINA BIFIDA Negative
TRISOMY 18 SCREEN       Negative
AFP MoM           <2.00 MoM
Down Syndrome Risk      Negative

Component Information

Name

  AFP 

Method

  MEIA 

CPT Code

  82105 

Units

   
Ref Range    
Reflex Reason    
     

Name

  AFP MOM 

Method

  CALC 

CPT Code

   

Units

  MoM 
Ref Range   Less than 2.0 
Reflex Reason    
     

Name

  UE3 

Method

  RIA 

CPT Code

  82677 

Units

   
Ref Range    
Reflex Reason    
     

Name

  UE3 MOM 

Method

  CALC 

CPT Code

   

Units

   
Ref Range    
Reflex Reason    
     

Name

  HCG 

Method

  MEIA 

CPT Code

  84702 

Units

   
Ref Range    
Reflex Reason    
     

Name

  HCG MOM 

Method

  CALC 

CPT Code

   

Units

   
Ref Range    
Reflex Reason    
     
Collection Notes
Collect specimen between 14-21 weeks gestation. Icteric or
grossly hemolyzed specimens are not acceptable. Ship ambient
within 24 hrs of colletion by overnight courier.
   
SPECIAL INSTRUCTIONS: Must include: Gestation age, LMP,
Weight, Race, Insulin dependent, Multiple fetuses.

Additional Comments
California clients please use test #3110CA when ordering this test..

 

Questions or Comments email support@mgh.org

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