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Hemoglobin Chromatographic Fractionation (High-Performance Liquid Chromatography) in Whole Blood

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

This test measures different types of hemoglobin in your blood using a liquid chromatography method. Hemoglobin is the protein in red blood cells that carries oxygen, and variations in its forms can provide insights into health conditions.

Quick summary

["This test helps identify abnormal hemoglobin types that may indicate genetic disorders or other blood-related conditions."]

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

Key facts at a glance

LOINC
4563-3
Short code
Hgb C MFr Bld
Synonyms
Hgb C MFr Bld
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
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 Does This Test Measure?

The test separates hemoglobin into its components—such as hemoglobin A, A2, F (fetal), and variants like S, C, or D—based on their chemical structure. Each type behaves differently during chromatography, allowing for precise identification.

Why Might You Need This Test?

Doctors may order this test if you have symptoms like fatigue, anemia, or unexplained blood abnormalities, or if you have a family history of hemoglobin disorders (e.g., sickle cell disease, thalassemia). It helps diagnose or monitor conditions affecting hemoglobin production or structure.

How Is the Test Performed?

A small blood sample is drawn from a vein, typically in your arm. The blood is processed to separate hemoglobin fractions using high-performance liquid chromatography, which detects and quantifies each type.

What Are Common Findings?

Normal results show typical hemoglobin distributions (e.g., high hemoglobin A, minimal fetal hemoglobin). Abnormal findings may reveal elevated fetal hemoglobin (common in sickle cell trait), unusual variants, or reduced levels of specific fractions, which can signal genetic disorders.

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.

◆Associated findings1

Short name

Hb Chromatography Profile

Frequently asked questions

What does an abnormal result mean?
An abnormal result may suggest a genetic hemoglobin disorder, such as sickle cell trait or thalassemia. Your doctor will discuss findings with you and may recommend further testing or lifestyle adjustments.
How often should I get this test?
Your doctor will determine frequency based on your health, symptoms, or risk factors. Some people with known hemoglobin disorders may need regular monitoring, while others may only need testing if symptoms arise.
Can diet or lifestyle affect this test?
Dietary changes alone won’t alter hemoglobin types, but certain medications (e.g., folic acid supplements) or conditions (e.g., iron deficiency) may indirectly impact blood health. Follow your doctor’s advice for optimal care.
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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