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Hemoglobin Electrophoresis
Last Modified:
8/21/2023 3:01:15 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 Hemoglobin; 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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