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Human Chorionic Gonadotropin (HCG) in Serum or Plasma

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

This test measures the levels of human chorionic gonadotropin (HCG), a hormone produced after pregnancy begins. It helps detect early pregnancy or certain non-pregnancy conditions.

Quick summary

["HCG levels can signal pregnancy or other health concerns—ask your provider about why it was ordered."]

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

Key facts at a glance

LOINC
44002-4
Short code
HCG adj MoM Amn
Synonyms
HCG adj MoM Amn
Category
chemistry
Sample
fluid
Container
Sterile tube
Units
N/A
Ref low
0
Ref high
5
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84702
SNOMED
275917004
Specimen volume
2-5 mL
Stability
Room temperature: 2h, Refrigerated: 24h
Hemolysis max
300
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your healthcare provider may order an HCG test to confirm pregnancy, monitor its progress, or check for conditions like ectopic pregnancy, molar pregnancy, or certain cancers (e.g., testicular or ovarian). It’s often used in early pregnancy screening or during follow-up for fertility treatments.

How Is the Sample Collected?

A blood sample is taken from a vein in your arm. You may feel a small pinch, but it usually doesn’t cause significant discomfort. If you’re pregnant, you might also consider a urine test for HCG, which is less invasive but less precise.

What Does the Result Mean?

Results can vary widely depending on the stage of pregnancy or condition being tested. A positive result in early pregnancy typically appears within 7–10 days after conception. Non-pregnancy conditions may show elevated levels differently, so results should always be interpreted by your provider.

What Are Common Causes of Abnormal Results?

HCG levels can be higher than expected in pregnancy, but they may also rise in conditions like gestational trophoblastic disease (a rare pregnancy complication), certain cancers, or medical treatments that stimulate hormone production. Lower-than-expected levels can indicate early miscarriage, failed implantation, or other issues.

Reference range

Non-pregnant: <5 mIU/mLN/A

Specimen: fluid

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

HCG Test

Frequently asked questions

Why might my HCG test be ordered if I’m not pregnant?
Your provider may check HCG levels to investigate symptoms like unusual vaginal bleeding, pelvic pain, or suspected ectopic pregnancy. It could also be part of monitoring for conditions like ovarian or testicular cancer, or to assess fertility treatments.
What should I do if my HCG level is very high?
A very high HCG level could indicate a molar pregnancy or other rare complications. Your provider will guide you on next steps, which may include additional tests (like ultrasound) or closer monitoring. Never self-diagnose—always discuss results with your healthcare team.
Can I eat or drink before this test?
Most HCG blood tests don’t require fasting, but follow your provider’s instructions. If you’re taking a urine test, avoid caffeine or certain medications that might affect results. Always confirm with your lab or clinic before your appointment.
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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