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91615: Alpha-Fetoprotein and Acetylcholinesterase, Amniotic Fluid with Reflex to HbF Print View
Alpha-Fetoprotein     mcg/mL 
Multiple of the Median      
Weeks of Gestation     weeks 
Acetylcholinesterase      

PRIMARY
1 Amniotic Fluid 2.4 (1.2) mL   Room Temperature - 14 Day(s)/Refrigerated - 21 Day(s)/Frozen - 12 Month(s)  
ALTERNATE

Avoid contaminating the fluid with blood.

Gestational age (13-24 weeks) must be provided for interpretation of
results.

Indicate gestational age, collection date, clinical indications and
AFP and MoM results, if available, on the test request form.
Setup Schedule
Monday-Saturday

Reported (Analytical Time)
Next day

CPT Codes
82106,82664

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Notes
**This test is not available for New York patient testing.** **For New York patient testing, use test code 91399.**
Methodology: Chemiluminescent, Immunodiffusion, Gel Electrophoresis
Transport Temperature: Room Temperature
Reflex Criteria:
If Alpha-Fetoprotein, Amniotic fluid is Positive, Fetal Hemoglobin, Amniotic (4766-3) is performed at an additional charge (CPT code 83033).
Specimen Requirements:
2.4 mL (1.2 mL minimum) amniotic fluid collected in a standard separator tube






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