Hemoglobin Electrophoresis

Last Modified: 3/25/2019 2:22:32 PM


Medical Necessity Documentation:
Duplicate testing on this test is not acceptable per Medicare:  Testing to only be done every 101 years
Client Notes:  
Patient Preparation:  
Specimen Requirements: 5.0 mL Whole Blood in a Lavender Top Tube - EDTA
Collection Instructions:  
Minimum Volume: 1.0 mL
Transport & Storage: Temperature/Stability: 5 days Refrigerated
Reference Range:
Hgb A1-A3:  96 - 98.5%
Hgb A2: 1.5 - 4.0%
Hgb F: 0%
Critical Ranges:  
Test Comments:  
Methodology: Electrophoresis
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Days Performed: Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed: Parkview Regional Medical Center
PHL Test Code: HGBEL
EPIC Test Code: LAB2643
Alternate Test Names: Electrophoresis, HGB; HGB Electrophoresis
Included Tests: Hemoglobin A1-A3; Hemoglobin A2; Hemoglobin F; Hemoglobin Other; Hemoglobin S; Pathology Interpretation
CPT Coding: 83020

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