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Fetal Red Blood Cell (RBC) Hemoglobin and Bilirubin Profile (Newborn Screening)

Published: August 9, 2026Updated: August 17, 2026

This test measures key blood components in your newborn’s red blood cells to check for conditions like anemia or jaundice.

Quick summary

Early detection helps manage potential health risks for your baby.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
48556-5
Short code
Fetal RBC/1000 RBC Bld Kleih Betke-Rto
Synonyms
Fetal RBC/1000 RBC Bld Kleih Betke-Rto
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
4.2
Ref high
5.9
Critical range
2 N/A – 7 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
kleihauer-betke
CPT
85041
SNOMED
900000000000003001
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Is Done

Newborns are screened for certain blood disorders and metabolic conditions using a simple heel-prick blood test. This profile helps identify issues like low hemoglobin (anemia) or high bilirubin (jaundice), which can affect growth and development if untreated.

What the Test Measures

The test evaluates two main components: hemoglobin (the protein in red blood cells that carries oxygen) and bilirubin (a yellow pigment produced when red blood cells break down). These levels can indicate whether your baby’s blood is functioning properly or if additional support is needed.

What to Expect Before the Test

The test is quick and painless—just a small blood sample is taken from your baby’s heel. No special preparation is required, but check with your healthcare provider if your baby has a history of bleeding issues.

What the Results Mean

Results guide next steps, such as monitoring, additional testing, or treatment. Your doctor will discuss findings with you and explain any follow-up care needed.

Reference range

Adult males: 4.2-5.9; Females: 3.8-5.1 x 10^12/LN/A

Specimen: whole-blood

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Fetal RBC Hemoglobin & Bilirubin Profile

Frequently asked questions

Low hemoglobin in newborns may signal anemia, which can cause fatigue or slow growth. High bilirubin levels can lead to jaundice, requiring light therapy or other interventions to prevent brain damage.
What does a low hemoglobin level mean for my baby? It may indicate anemia, which can cause tiredness or developmental delays. Your doctor will assess whether further testing or treatment is needed.
How long will I need to wait for results? Results are typically available within 24–48 hours, but timing may vary by lab. Your provider will contact you once they’re ready.
Can I do anything to prepare my baby for this test? No special preparation is needed, but ensure your baby is well-hydrated and rested. Avoid giving extra fluids right before the test if instructed otherwise.
Is this test covered by insurance? Most newborn screening tests are included in standard health insurance plans, but confirm with your provider or insurance company to confirm coverage details.
Will my baby need follow-up care if results are abnormal? If findings are outside normal ranges, your doctor will discuss next steps, which may include monitoring, additional tests, or treatment plans tailored to your baby’s needs.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy