Human Chorionic Gonadotropin (hCG) in Serum/Plasma
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.
["hCG helps confirm pregnancy or monitor potential complications."]
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
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?
Can I Take Anything Before the Test?
What If My Results Are Abnormal?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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