Bone-specific Alkaline Phosphatase (BAP)

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Turnaround Time: 2 - 5 days
CPT Code:

84080

Test Type: 1 mL Serum
Stability Time:

Temperature

Period

Room temperature

14 days

Refrigerated

14 days

Frozen

14 days

Freeze/thaw cycles

Stable x3

Reference Range:

Reference interval change (November 2015)1-3

 

Age

Male (μg/L)

Female (μg/L)

0 to 5 m

Not established

Not established

6 to 11 m

48.2−170.2

50.4−154.0

1 y

41.9−229.6

44.2−178.3

2 y

41.7−139.4

34.9−195.4

3 to 4 y

37.2−127.7

37.4−96.8

5 to 6 y

42.0−104.2

31.4−100.8

7 to 8 y

59.0−101.3

44.0−135.8

9 to 10 y

50.4−133.0

47.9−150.8

11 to 12 y

53.3−156.8

24.2−133.3

13 to 14 y

77.5−169.8

19.8−92.7

15 to 16 y

26.8−173.4

11.2−30.2

17 to 18 y

15.4−69.8

8.8−29.0

19 to 20 y

12.2−36.6

7.7−16.8

21 to 29 y

7.4−27.7

See below

30 to 34 y

7.0−27.4

See below

35 to 39 y

4.0−27.0

See below

40 to 44 y

7.4−26.7

See below

45 to 49 y

7.5−26.4

See below

50 to 54 y

7.5−26.1

See below

Overview:

Quantitative measurement of skeletal alkaline phosphatase to be used as an aid in the management of patients with Paget disease and osteoporosis.

Serum specimens with significant elevations of liver alkaline phosphatase may cause aberrantly elevated results with the Ostase® assay.

Patients who have undergone therapy that includes infusion with mouse monoclonal antibody may produce erroneous results.
 
1. Wyness SP, Roberts WL, Straseski JA. Pediatric reference intervals for four serum bone markers using two automated immunoassays. Clin Chim Acta. 2013 Jan 16; 415:169-172. PubMed 23122966
2. Cavalier E, Delanaye P. Analytical performance of a new bone-specific ALP automated immunoassay. J Am Soc Nephrol 24. 2013:754A.
3. Michelsen J, Wallaschofski H, Friedrich N, et al. Reference intervals for serum concentrations of three bone turnover markers for men and women. Bone. 2013 Dec; 57(2):399-404. PubMed 24076251
 
Delmas PD. Biochemical markers of bone turnover: Methodology and clinical use in osteoporosis. Am J Med. 1991; 91(5B):59S-63S. PubMed 1750421
 
van Straalen JP, Sanders E, Prummel MF, et al. Bone-alkaline phosphatase as indicator of bone formation. Clin Chim Acta. 1991; 201(1-2):27-33. PubMed 1790624

Collection Details:

Collection Instructions:

Gel-barrier tube or transport tube.

Separate serum from cells within 45 minutes of collection. If a red-top tube is used, transfer separated serum to a plastic transport tube.

Maintain specimen at room temperature.

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