AFP (Alpha Fetoprotein) Post-Orchiectomy Range


**Note 1:** Physician statement of the AFP (Alpha Fetoprotein) Post-Orchiectomy Range can be used to code this data item when there is no other information available. **Note 2:** Record the range of the AFP test as documented in the medical record **after orchiectomy** but prior to adjuvant therapy. The lab value may be documented in a lab report, history and physical, or clinical statement in the pathology report. **Note 3:** If the initial post-orchiectomy AFP remains elevated, review subsequent tests and record the lowest AFP value (normalization or plateau) prior to adjuvant therapy or before the value rises again. **Note 4:** A lab value expressed in micrograms/liter (ug/L) is equivalent to the same value expressed in nanograms/milliliter (ng/mL). **Note 5:** If the lab value is expressed in IU/ml, use the following conversion: 1 ng/mL = 0.83 IU/mL. * To calculate ng from IU/mL, divide the value for IU by 0.83. * *Example*: 10 IU/mL: 10/0.83 = 12.04 ng/mL; 5 IU/mL: 5/0.83= 6.02 ng/mL **Note 6:** If the pre-orchiectomy AFP was normal, a post-orchiectomy AFP may not be performed. In this case, code 5 should be recorded. **Note 7:** The same laboratory test should be used to record information in AFP Post-Orchiectomy Lab Value [NAACCR Data Item #3805].




NAACCR #3806


Code Description
0 Within normal limits
1 Above normal and less than 1,000 nanograms/milliliter (ng/mL)
2 1,000 -10,000 ng/mL
3 Greater than 10,000 ng/mL
4 Post-Orchiectomy alpha fetoprotein (AFP) stated to be elevated
5 Post-Orchiectomy alpha fetoprotein (AFP) unknown or not done but pre-orchiectomy AFP was normal
7 Test ordered, results not in chart
8 Not applicable: Information not collected for this case (If this information is required by your standard setter, use of code 8 may result in an edit error.)
9 Not documented in medical record No orchiectomy performed AFP (Alpha Fetoprotein) Post-Orchiectomy Range not assessed or unknown if assessed