AFP (Alpha Fetoprotein) Post-Orchiectomy Range
Description
AFP (Alpha Fetoprotein) Post-Orchiectomy Range identifies the range category of the lowest AFP value measured post-orchiectomy. AFP is a serum tumor marker that is often elevated in patients with nonseminomatous germ cell tumors of the testis. The Post-Orchiectomy lab value is used to monitor response to therapy. For Testis, there are 4 related data items that record information on AFP for Testis. * 3805: AFP Post-Orchiectomy Lab Value * 3806: AFP Post-Orchiectomy Range * 3807: AFP Pre-Orchiectomy Lab Value * 3808: AFP Pre-Orchiectomy RangeNotes
**Note 1:** **Physician Statement** * 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:** **Timing** * 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:** **Lab values elevated after orchiectomy** * 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:** **Pre-orchiectomy AFP normal** * If the pre-orchiectomy AFP was normal, a post-orchiectomy AFP may not be performed. In this case, code 5 should be recorded. **Note 5:** **Related data item** * The same laboratory test should be used to record the related data item 3805: AFP Post-Orchiectomy Lab Value.| 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 |