HCG Urine

Test Code
LAB437


CPT Codes
81025

Includes
Urine HCG, Urine Color


Preferred Specimen
Urine


Instructions
Collect Freshly voided urine in a clean urine container. Any random sample is acceptable but first morning specimen is optimal. Plastic screw-cap container Clean catch/midstream urine collection.


Transport Temperature
Refrigerate if over 1 hour


Specimen Stability
1 hour Room Temp, 48 hours Refrigerated, Do not Freeze


Methodology
Lateral flow test using monoclonal and polyclonal antibody.This test provides a presumptive diagnosis of pregnancy.

Setup Schedule
Daily/STAT


Report Available
Daily STAT:1hr


Limitations
The detection of hCG in urine or blood within 3-4 weeks of the last menstrual period is the most reliable indicator for the confirmation of pregnancy. hCG is initially secreted by the trophoblast, and later by the chorion and placenta. Levels rise exponentially to a peak during the first trimester, declining to a plateau during the second and third trimesters. Measurement of hCG has also been applied in the diagnosis of ectopic pregnancy, threatened abortion, and multiple gestation.


Reference Range
Negative


Clinical Significance
Human chorionic gonadotropin (hCG) concentrations of 25 mIU/mL andgreater can be detected by this method. In normal pregnancy, hCG levelscan reach this as early as 7 to 10 days post conception.  Elevatedlevels of hCG may be found in trophoblastic disease, some carcinomas,ectopic pregnancies and hydatidiform moles.


Performing Laboratory
CH CHOMP HOSPITAL LAB (831-625-4811): CH URINALYSIS

Additional Information
NCD Human Chorionic Gonadotropin (HCG)


The CPT Codes provided in this document 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 payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.