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Human Chorionic Gonadotropin (hCG) in Serum/Plasma

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

This test measures the amount of human chorionic gonadotropin (hCG), a hormone produced during pregnancy, in your blood. It helps track early pregnancy development or detect conditions like ectopic pregnancy.

Quick summary

["hCG helps confirm pregnancy or monitor potential complications."]

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

Key facts at a glance

LOINC
20994-0
Short code
HCG SerPl-Imp
Synonyms
HCG SerPl-Imp
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 an hCG test to confirm pregnancy, especially if you have missed periods or suspect pregnancy. It can also be used during early pregnancy to check for normal development or detect issues like a miscarriage, ectopic pregnancy, or molar pregnancy. In non-pregnant individuals, it may be used to investigate symptoms like unexplained vaginal bleeding or infertility.

When Might You Get This Test?

You might receive this test during the first few weeks of pregnancy, often as early as 7–10 days after conception. It may also be done periodically during pregnancy to monitor progress. Outside of pregnancy, it could be ordered if you’re experiencing symptoms that suggest hormonal imbalances or reproductive health concerns.

What to Expect Before the Test

No special preparation is usually needed, but your provider may advise against certain activities (like heavy exercise) or medications that could affect results. If you’re pregnant, you may be asked to fast for a few hours before the blood draw, but this isn’t always required.

What Happens During the Test?

A healthcare professional will draw blood from a vein in your arm. The process is quick and typically painless, though you might feel a slight pinch. The blood sample is then sent to a lab for analysis.

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.

An elevated hCG level strongly suggests pregnancy, with levels rising steadily in early pregnancy. Very low or absent levels may indicate no pregnancy or an issue like a failed implantation. Rapidly rising levels could signal an ectopic pregnancy or molar pregnancy, which require medical attention. Your provider will interpret results in the context of your symptoms and medical history.

Short name

hCG Level

Frequently asked questions

How Soon After Conception Can This Test Detect Pregnancy?
hCG can sometimes be detected as early as 7–10 days after conception, but results may be less reliable at this stage. Most reliable results occur around 1–2 weeks after a missed period, depending on the test sensitivity.
Can I Take Anything Before the Test?
Most tests don’t require fasting, but follow your provider’s instructions if they’ve given specific guidance. Avoid alcohol or certain medications that might interfere with results, if advised.
What If My Results Are Abnormal?
If your hCG levels are unexpectedly low or rising too slowly, your provider may recommend further testing or evaluation. If levels are very high, they could indicate multiple pregnancies or other conditions. Always discuss results with your healthcare team for personalized guidance.
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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