General Information

UPHSM LIS Test #: 6969
Schedule: Monday - Saturday
Testing Time: 1 - 25 days
Testing Lab: Mayo Labs

Specimen Info
Only 1 specimen type required, unless otherwise specified

Volume: 6.0 mL
Temperature: Refrigerated
Tube Type: 1 Lav EDTA tube
Collection Info:
Do not transfer blood to other containers.
1. Patient's age is required.
2. Include recent transfusion information.
3. For information on thalassemias and appropriate test ordering, see Thalassemia Tests in Special Instructions.



CPT Codes

Hemoglobin Electrophoresis Cascade
83020-Quantitation by electrophoresis
83021-Quantitation by HPLC

IEF Confirms
82664-Electrophoresis, not elsewhere specified (if appropriate)

Hemoglobin, Unstable, Blood
83068 (if appropriate)

Hemoglobin Variant by Mass Spectrometry (MS), Blood
83789 (if appropriate)

Hemoglobin Electrophoresis, Molecular
81257-HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, Alpha thalassemia, Hb Bart hydrops fetalis syndrome, HBH disease) gene analysis for common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, and Constant Spring) (if appropriate)
81401-HBB (hemoglobin, beta) (eg, sickle cell anemia, hemoglobin C, hemoglobin E), common variants (eg, HbS, HbC, HbE) (if appropriate)
81403-HBB (hemoglobin, beta, beta-globin) (eg, beta thalassemia), duplication/deletion analysis (if appropriate)

Hemoglobin S, Screen, Blood
85660 (if appropriate)

Hemoglobin F, Red Blood Cell Distribution, Blood
88184 (if appropriate)

* The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding
is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Reference Range

See Report