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Hemoglobin A2 (HbA2) by Serum Electrophoresis

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

This test measures the percentage of a specific type of hemoglobin (HbA2) in your blood, which is a marker for certain blood disorders like thalassemia.

Quick summary

["HbA2 helps diagnose and monitor conditions affecting hemoglobin production."]

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

Key facts at a glance

LOINC
24470-7
Short code
Hgb A2+XXX MFr Bld Elph
Synonyms
Hgb A2+XXX MFr Bld Elph
Category
hematology
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
12
Ref high
17.5
Critical range
7 N/A – 20 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
electrophoresis
CPT
85018
SNOMED
900000000000003004
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What Is HbA2?

HbA2 is one of the main types of hemoglobin found in red blood cells. Hemoglobin carries oxygen throughout your body. HbA2 is a variant that appears in smaller amounts than the most common form (HbA1c). This test focuses specifically on detecting HbA2 levels, which can be elevated in conditions like thalassemia or certain genetic blood disorders.

Why Might You Need This Test?

Your healthcare provider may order an HbA2 test if you have symptoms like fatigue, pale skin, or family history of blood disorders. It’s also used to monitor conditions like thalassemia or sickle cell disease, where abnormal hemoglobin levels are present.

How Is the Test Done?

A small blood sample is drawn from a vein in your arm. The blood is then processed and analyzed using electrophoresis, a method that separates different types of hemoglobin based on their electrical charge.

What Do the Results Mean?

Results are typically reported as a percentage of HbA2 relative to total hemoglobin. While reference ranges vary by lab, elevated HbA2 levels may indicate thalassemia or other hemoglobinopathies, while normal levels suggest no significant abnormality.

Reference range

Adult males: 13.5-17.5 g/dL; Females: 12.0-16.0 g/dLN/A

Specimen: whole-blood

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

HbA2

Frequently asked questions

What could cause abnormal HbA2 levels?
Abnormally high HbA2 levels are often linked to thalassemia syndromes (such as alpha or beta thalassemia) or other inherited blood disorders. Low levels alone are less commonly significant unless part of a broader evaluation for hemoglobin-related conditions.
How often should I get this test?
Your doctor will determine the frequency based on your health status, diagnosis, or symptoms. Regular monitoring may be recommended if you have a known blood disorder or genetic predisposition.
Does this test require fasting?
No fasting is required for this test, as it involves a simple blood draw and does not depend on dietary conditions.
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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