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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 by the placenta after pregnancy begins. It is commonly used to detect early pregnancy or certain types of tumors.

Quick summary

["HCG helps confirm pregnancy or check for conditions requiring hormone monitoring."]

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

Key facts at a glance

LOINC
44001-6
Short code
HCG CSF-aCnc
Synonyms
HCG CSF-aCnc
Category
chemistry
Sample
csf
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
1-2 mL
Stability
Immediate analysis required, Refrigerated: 1h
Hemolysis max
200
TAT
4–24 hours
Order
routine

What Is HCG Used For?

HCG is primarily used to confirm pregnancy, especially in early stages when other tests may not be as reliable. It can also help monitor the health of the pregnancy, detect ectopic pregnancies, or identify conditions like gestational trophoblastic disease. Additionally, HCG levels may be checked in cases of suspected ovarian or testicular tumors.

When Might You Need This Test?

You may need an HCG test if you suspect you are pregnant, especially if you have missed a menstrual period. Doctors may also order it during pregnancy monitoring, after a miscarriage or ectopic pregnancy, or if you have symptoms like unusual vaginal bleeding or pelvic pain. Certain cancers, particularly those producing HCG, may also require this test.

How Is the Test Performed?

A blood sample is taken from a vein in your arm. The sample is then sent to a lab for analysis. The test measures the amount of HCG hormone in your blood, which can be detected as early as 6–10 days after conception.

What Are Common Results?

Results are typically reported in international units per liter (IU/L). Low or undetectable levels may indicate no pregnancy or other medical conditions. Elevated levels can suggest pregnancy or certain tumors. Your healthcare provider will interpret the results in the context of your medical history and symptoms.

Reference range

Non-pregnant: <5 mIU/mLN/A

Specimen: csf

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 doctor ask for an HCG test?
Your doctor may recommend an HCG test to confirm pregnancy, monitor its progress, or investigate symptoms like unusual bleeding or pain. It can also help diagnose conditions such as ectopic pregnancies or cancers that produce HCG.
What happens if my HCG levels are too low?
Low HCG levels may indicate a problem with pregnancy, such as a miscarriage, or could be due to other health conditions. Your doctor will discuss the results with you and may recommend further testing or follow-up.
Can HCG levels be affected by other factors?
Yes, factors like certain medications, medical conditions, or even stress can influence HCG levels. Always discuss any concerns or changes in symptoms with your healthcare provider.
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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