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Human Chorionic Gonadotropin (hCG) Quantitative Serum 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

hCG levels can signal pregnancy or certain health concerns; results guide next steps in care.

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

Key facts at a glance

LOINC
80385-8
Short code
HCG Ser Ql IA.rapid
Synonyms
HCG Ser Ql IA.rapid
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
Method
ia-rapid
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 This Test Is Done

Doctors order an hCG test to confirm pregnancy, especially in early stages, or to check for conditions like a miscarriage, ectopic pregnancy, or other hormonal imbalances. It may also be used during fertility treatments or to monitor certain cancers.

How the Test Works

A blood sample is taken from a vein in your arm. The lab analyzes the serum portion for hCG levels using an immunoassay method, which detects the hormone’s presence and concentration.

What to Expect Before the Test

No special preparation is needed, but inform your doctor about any medications or conditions that might affect results, such as certain infections or hormonal therapies.

What the Results Mean

Results are reported in international units per milliliter (IU/mL). Low or absent levels may indicate no pregnancy or early miscarriage, while very high levels could suggest complications like ectopic pregnancy or molar pregnancy.

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.

Elevated hCG levels are critical in pregnancy diagnosis and monitoring. Abnormal levels may prompt further evaluation, such as ultrasounds or additional blood tests, to assess fetal health or rule out complications. In non-pregnant individuals, elevated levels can signal conditions like gestational trophoblastic disease or certain cancers.

Short name

hCG Serum

Frequently asked questions

When might I need this test?
You may need this test if you suspect you’re pregnant, have missed periods, or are experiencing symptoms like nausea or breast tenderness. Doctors also use it during fertility treatments or to monitor conditions like ectopic pregnancy or cancer.
What does a normal hCG level mean?
A normal hCG level depends on your situation—whether you’re pregnant or not. For pregnant individuals, levels rise gradually, and results help track pregnancy progress. For non-pregnant individuals, a normal result means no detectable hCG.
Can medications affect my hCG test results?
Some medications, like certain fertility drugs or hormonal treatments, may influence hCG levels. Always inform your healthcare provider about all medications or supplements you’re taking before the test.
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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