AFP (Alpha Fetoprotein) Pretreatment Lab Value
Description
AFP (Alpha Fetoprotein) Pretreatment Lab Value is a nonspecific serum protein that generally is elevated in the setting of hepatocellular carcinoma (HCC). This data item pertains to the pre-treatment lab value.
A protein normally produced by a fetus. Alpha fetoprotein levels are usually undetectable in the blood of healthy adult men or women (who are not pregnant). An elevated level of alpha-fetoprotein suggests the presence of either a primary liver cancer or germ cell tumor.
There are 2 related data items that record information on CEA for Colon and Rectum.
* 3810: AFP Pretreatment Lab Value
* 3809: AFP Pretreatment Interpretation
Rationale
Data Collection Variable in AJCC. This data item was previously collected for Liver, CS SSF #3. AFP (Alpha Fetoprotein) Pretreatment Lab Value is a Registry
Additional Info
**Source documents:** clinical laboratory report (blood serum radioimmunoassay or enzyme assay (EIA)); sometimes in history and physical or clinical statement in pathology report
**Normal Reference Range:**
* Adult men and non-pregnant women: 0-15 ng/ml (SI: 0-15 mg/L)
Notes
**Note 1:** **Physician Statement**
* Physician statement of AFP (Alpha Fetoprotein) Pretreatment Lab Value can be used to code this data item when no other information is available.
**Note 2:** **Pretreatment results only**
* Record the lab value of the highest AFP test result documented in the medical record prior to treatment. The lab value may be recorded in a lab report, history and physical, or clinical statement in the pathology report.
**Note 3:** **Related data item**
* The same laboratory test should be used to record information in the related data item 3810: AFP Pretreatment Lab Value
Coding Guidelines
**1)** Record the highest value prior to treatment in nanograms per milliliter (ng/ml) in the range 0.1 (1 ng/ml) to 9999.9 (9999 ng/ml) in the Lab Value data item.
**2)** A lab value expressed in micrograms per liter (ug/L) is equivalent to the same value expressed in ng/ml.
***Examples***
**a)** AFP Lab Value 0 ng/ml - Code 0.0
**b)** AFP Lab Value 23.6 ng/ml - Code 23.6
**c)** AFP Lab Value 11,0000 - Code XXXX.,1
**d)** AFP Lab Value Test Ordered, results not in chart - Code XXXX.7
**e)** AFP Lab Value Not documented in medical record, AFP test not done, unknown if APF test done - Code XXXX.9
Default
XXXX.8
Metadata
SSDI
| Code |
Description |
| 0.0 |
0.0 nanograms/milliliter (ng/ml); not detected |
| 0.1-9999.9 |
0.1-9999.9 ng/ml
(Exact value to nearest tenth of ng/ml) |
| XXXX.1 |
10,000.0 ng/ml or greater |
| XXXX.7 |
Test ordered, results not in chart |
| XXXX.8 |
Not applicable: Information not collected for this case
(If this item is required by your standard setter, use of code XXXX.8 will result in an edit error.) |
| XXXX.9 |
Not documented in medical record
AFP (Alpha Fetoprotein) Pretreatment Lab Value not assessed or unknown if assessed |
