Pregnancy Test, Qualitative (bhCG), reflex to bhCG Quant if Indicated, Plasma or Serum

Test Code

HCGRFLX

CPT Codes
84703, 84702 if indicated

Preferred Specimen

1.0 mL plasma from Green top (Lithium Heparin)

Minimum Volume

1.0 mL

Other Acceptable Specimens

1.0 mL serum from Serum Gel or Red Top

Specimen Stability

		NCMC	BFCMC, McKee & SV
Specimen Type	Temperature	Time	Time
Plasma Li Hep	Refrigerate	7 days	2 days
Serum SST	Refrigerate	7 days	2 days
Red Top – Separated*	Refrigerate	7 days	2 days

*Centrifuge and aliquot into a plastic vial.

Methodology
Chemiluminescence

Setup Schedule

Monday through Sunday; Continuously

Report Available

Same day

Reference Range

HCG Qual: Negative
If positive HCG Quant is reflexed:
Expected Quantitative hCG Values
Non-pregnant: 0-5 mIU/mL

Gestational Age: hCG Level
0.2-1 week: 5-50 mIU/mL
1-2 weeks: 50-500 mIU/mL
2-3 weeks: 100-5,000 mIU/mL
3-4 weeks: 500-10,000 mIU/mL
4-5 weeks: 1,000-50,000 mIU/mL
5-6 weeks: 10,000-100,000 mIU/mL
6-8 weeks: 15,000-200,000 mIU/mL
2-3 months: 10,000-100,000 mIU/mL
3rd trimester: 1,000-50,000 mIU/mL
Note: The quantitatiive hCG test is only sensitive down to 1 mIU/mL. Values reported as less than <1 mIU/mL may actually be zero.

Performing Laboratory
Banner Fort Collins Medical Center Laboratory
Mckee Medical Center Laboratory
North Colorado Medical Center Laboratory
Summit View Laboratory
Sterling Regional Medical Center
East Morgan County Hospital

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.