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PREGNANCY, SERUM QUANTITATIVE

Test Code
HCGQT


Alias/See Also
Beta hcg; bhcG; Pregnancy


CPT Codes
84702

Preferred Specimen

1 Gold tube (gel separator)



Minimum Volume

0.5 mL



Other Acceptable Specimens
or 1 Green tube (Lithium Heparin) or 1 Red tube


Instructions

Centrifuge for complete separation of serum and red cells. If serum seperator tube is not used, transfer (aliquot) serum into a transfer tube.  Refrigerate until tested.




Transport Temperature

Refrigerate



Specimen Stability

15-30°C up to 8 hours; 2-8°C up to 2 days; Frozen up to 6 months



Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Gross hemolysis interferes

Gross lipemia interferes

Gross icterus interferes



Methodology

Chemiluminescence



Setup Schedule

M, T, W, Th, F, Sa, Su



Report Available
Within 24 hours of receipt at the performing laboratory.  Stat testing is available.


Reference Range

Males: <0.5 - 2.67 mIU/mL

Non-pregnant Females: <0.5 - 4.90 mIU/mL


Pregnant Females:

  • Negative <0.5 mIU/mL
  • Indeterminant 5 - 25 mIU/mL
  • Positive >25 mIU/mL

Estimation of Gestational Age

Weeks from LMP ßhCG mIU/mL
3 5 - 50
4 5 - 426
5 18 - 7,340
6 1,080 - 56,500
7-8 7,650 - 229,000
9-12 25,700 - 288,000
13-16 13,300 - 254,000
17-24 4,060 - 165,400
25-40 3,440 - 117,000

The ranges in the table above have not been validated by the testing lab or assay manufacturer, but are provided solely as an estimate of gestational age. ßhCG levels can vary widely between pregnant women; therefore results should be used in conjunction with other methods (i.e. ultrasound, LMP) for determining gestational age. For assessment of gestational viability, serial testing is advised rather than a single measurement.



Clinical Significance

Intended for use as an aid in early detection of pregnancy. During pregnancy, rapidly declining levels may indicate an abnormal condition such as ectopic pregnancy or impending spontaneous abortion.



Performed By
Alverno Laboratories

Performing Laboratory
Alverno Central Lab  
NCHB2 (Chemistry, Beckman DxI)


Last Updated: June 4, 2023


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.