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Test Code HGB Hemoglobin Level

Specimen Type

Blood

Container

Lavender top

Availability

24/7. Refrigerate sample if transportation is delayed

Turnaround Time

1 hour

STAT Availability

Not Available

CPT Code

85018

Prefered Volume

4 mL

Minimum Volume

2 mL in 4 mL tube, 1.5 mL in 3 mL tube

Reference Range

 

Parameter Age Male & Female  Male  Female Units
HGB 0 days 13.2 - 19.1     g/dL
  1 day 14.2 - 22.1     g/dL
  7 days 13.2 - 21.1     g/dL
  14 days 12.3 - 20.1     g/dL
  1 month 9.8 - 17.6     g/dL
  2 months 8.8 - 13.7     g/dL
  3 months 9.3 - 13.2     g/dL
  6 months 10.3 - 13.2     g/dL
  2 years 11.3 - 13.2     g/dL
  6 years 11.3 - 15.2     g/dL
  12 years & up   13.5 - 17.5 11.5 - 15.5 g/dL

Fee Code

53228

Critical Results

HGB: <6.0 or > 20.0 (gm/dL)

Test Limitations

Transportation temperature: specimen cannot be frozen or heated
Rejection criteria: clotted or short specimen volume; microclot formation; improper tube

Coverage Information

CMS has established a national coverage policy (NCD) for Medicare for this test as of November 25, 2002. Please document medical necessity. For more details click this link:  https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=61&ncdver=1&bc=AgEAAAAAAAAA