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Hemoglobin Variants by Surface Antibody Screening (Donor-Specific)

Published: August 9, 2026Updated: August 16, 2026

This test detects specific antibodies that may bind to certain variants of hemoglobin, a protein in red blood cells. It helps identify potential risks for transfusion reactions or compatibility issues in blood donation.

Quick summary

["This screening helps ensure safe blood donation by checking for unusual hemoglobin types that could cause adverse reactions in recipients."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
22323-0
Short code
HBV surface Ab Ser Donr-aCnc
Synonyms
HBV surface Ab Ser Donr-aCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0
Ref high
5
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82378
SNOMED
394995008
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your healthcare provider may order this test if you are a blood donor or if you have a history of unusual hemoglobin types. It helps verify that donated blood is compatible with the recipient’s blood type, reducing the risk of transfusion-related complications.

What to Expect During the Test

A small blood sample is drawn from a vein, usually in your arm. The sample is processed to detect antibodies against specific hemoglobin variants. The results are used to assess donor eligibility or compatibility.

Sample Collection and Processing

The blood sample is separated into serum or plasma, where antibodies are measured using a specialized immunoassay method. This test focuses on detecting surface antibodies rather than measuring hemoglobin levels directly.

What the Results Mean

Positive results indicate the presence of antibodies against certain hemoglobin variants, which may affect blood donation eligibility or require further evaluation. Negative results suggest no significant antibodies were detected.

Reference range

Non-smokers: <2.5 ng/mL; Smokers: <5.0 ng/mLN/A

Specimen: serum

No special preparation required. For PSA, avoid sexual activity for 24-48 hours before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: This test is critical for blood banks to prevent transfusion-related hemolytic reactions, particularly in individuals with rare hemoglobin variants. It ensures that donated blood is safe for recipients who may have sensitivities to specific hemoglobin structures.

Short name

Hemoglobin Variant Screening (Serum/Plasma)

Frequently asked questions

What does a positive result mean for me as a donor?
A positive result may temporarily disqualify you from donating blood if the antibodies are linked to a rare hemoglobin variant. You may need to retest or consult with a blood bank specialist to determine if you can safely donate again.
How often should I get this test if I’m a regular donor?
Your blood bank will determine the frequency based on your medical history, test results, and any known hemoglobin variants. Follow their guidelines to ensure safe donations.
Can this test detect all hemoglobin variants?
This test focuses on antibodies against specific surface markers of hemoglobin variants. Some rare variants may not be detected by this method alone; additional testing may be required for comprehensive evaluation.
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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 16, 2026. · Read our editorial policy