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Human Chorionic Gonadotropin (hCG) Quantitative, Serum/Plasma

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 or certain cancers.

Quick summary

["Helps confirm pregnancy or monitor reproductive health conditions."]

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

Key facts at a glance

LOINC
2117-0
Short code
HCG Intact SerPl-sCnc
Synonyms
HCG Intact SerPl-sCnc
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
84702
SNOMED
275917004
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 Is This Test Done?

Your healthcare provider may order this test to confirm pregnancy, especially if you’re experiencing early symptoms like missed periods, nausea, or breast tenderness. It can also be used to monitor conditions like molar pregnancy, miscarriage, or certain cancers, such as testicular or ovarian tumors, where hCG levels may be elevated.

When Might You Need This Test?

You might need this test if you’re pregnant, have symptoms of pregnancy (like unusual bleeding or severe morning sickness), or if your doctor suspects a condition affecting hormone levels. It’s also sometimes checked during fertility treatments or if you’ve experienced unexplained symptoms like nausea or fatigue.

What to Expect Before the Test

No special preparation is needed for this test. You’ll provide a blood sample, usually drawn from your arm. If you’re pregnant, your provider may advise timing the test around the first missed period for the most accurate results.

What Happens During the Test?

A healthcare professional will take a small amount of blood from a vein in your arm. The blood will be sent to a lab for analysis. The results are typically available within a few days, depending on your lab’s processing time.

Reference range

Non-pregnant: <5 mIU/mLN/A

Specimen: serum

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 Level

Frequently asked questions

High levels of hCG can indicate early pregnancy, but very high levels may suggest complications like ectopic pregnancy or a molar pregnancy. Very low or absent levels could mean you’re not pregnant or may have experienced a miscarriage. In non-pregnant individuals, elevated hCG can sometimes signal certain cancers or other hormonal imbalances.
How soon after a missed period should I get this test?
If you’re trying to confirm pregnancy, the test is most reliable around the first missed period, but some women may need it earlier if symptoms are strong. Always follow your healthcare provider’s advice for the best timing.
Can I drink water before the blood draw?
Yes, you can drink water before the blood draw unless your provider specifies otherwise. Avoid alcohol or caffeine before the test if instructed, as it may affect your results.
If your hCG levels are very low or undetectable, it may mean you’re not pregnant, or if you are, the pregnancy may be very early. Your provider will discuss next steps, such as retesting after a few days or exploring other causes if symptoms persist.
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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