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Human Chorionic Gonadotropin (hCG) – Quantitative Test

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

This test measures the amount of human chorionic gonadotropin (hCG), a hormone produced after pregnancy begins. It helps track early pregnancy or detect conditions like ectopic pregnancy.

Quick summary

["The hCG test is critical for monitoring pregnancy progression and identifying potential complications."]

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

Key facts at a glance

LOINC
43801-0
Short code
HCG Intact Amn-aCnc
Synonyms
HCG Intact Amn-aCnc
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 check for pregnancy, especially if you have missed periods, unusual vaginal bleeding, or symptoms like nausea or breast tenderness. It can also be used to monitor early pregnancy or evaluate conditions like miscarriage, molar pregnancy, or certain cancers (e.g., ovarian or testicular).

How Is the Sample Collected?

A blood sample is typically taken from a vein in your arm. You may feel a small pinch when the needle is inserted, but the procedure is usually quick and well-tolerated. If you’re pregnant, you may be asked to provide a urine sample instead, though blood tests are more common for early pregnancy monitoring.

What Does the Test Result Mean?

Results vary widely depending on how far along you are in pregnancy. Very early in pregnancy, hCG levels rise slowly and may be very low. If you’re not pregnant, levels will be zero. Your provider will interpret results in the context of your symptoms, medical history, and other tests.

What Are Common Causes of Abnormal Results?

Low or absent hCG levels in early pregnancy may indicate a missed period, ectopic pregnancy, or early miscarriage. Very high levels can suggest a molar pregnancy or other rare conditions. Always discuss results with your healthcare provider.

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.

Clinical Significance

Short name

hCG Level

Frequently asked questions

How soon after a missed period should I get tested?
If you suspect you might be pregnant, wait at least 7–10 days after your missed period before testing. Early hCG levels can be very low and may not be reliable until this time. Blood tests are often more accurate for early detection than urine tests.
What if my hCG level is very low but I’m not pregnant?
A very low hCG level in the absence of pregnancy could mean you’re in the very early stages of a miscarriage, or it may simply indicate that your body hasn’t yet produced enough hCG. Follow-up testing or a healthcare provider’s guidance is important to clarify the next steps.
Can hCG levels be affected by other conditions?
Yes, conditions like ovarian cysts, certain cancers (e.g., non-pregnancy-related tumors), or even some medications (e.g., certain fertility treatments) can influence hCG levels. Your provider will consider these factors when interpreting your results.
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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