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HEMOGLOBIN ELECTROPHORESIS: (089-3104)

Clinical Indication:

Aids in diagnosis of patients presenting with certain hematological abnormalities (i.e., , anemia, abnormal RBC morphology)

Test Mnemonic:

HGBELECT

Methodology:

Test Battery Includes tube solubility (Sickle Screen) and High Performance Liquid Chromatography (HPLC); with Isoelectric Focusing (IEF) when indicated. 

Performed:

Samples are accepted 24 hours per day Sample Management, 5.136 McCullough.

Turnaround Time:

Routine testing is batched on Tuesday/Thursday.  Maximum 7 day turnaround time.  STAT testing is available ONLY if needed prior to RBC transfusion.  STAT turnaround time is 4 hours, Monday-Friday if received BEFORE 2 pm.  STAT testing is not available on weekends or holidays.

Specimen Requirements:

Collect: Routine venipuncture.  EDTA (Lavender-top tube).

Storage/Transport: Specimens  should be stored refrigerated at 2 - 8°C.

Stability: Stable for 7 days if stored between 2-8°C

Causes for Rejection: Collected in wrong tube, clotted, identification error

Clinical Information:

If applicable, state clinical information that is required to be provided with specimen.

Reference Range:

Hemoglobin A2 1.3-3.3%; Hemoglobin F <1.5%.

CPT 4 Code:

 83020

Reviewed: 9-20-12

 A. Huerta, BS, MT(ASCP), MBA

When ordering tests for which Medicare or Medicaid reimbursement will be sought, physicians should only order tests that are medically necessary for the diagnosis or treatment of the patient.  Components of the organ or disease panels may be ordered individually.  The diagnostic information must substantiate all tests ordered and must be in the form of an ICD-9 code or its verbal equivalent.

 

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