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High-Performance Liquid Chromatography (HPLC) Analysis of Hemoglobin F Fractionation

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

This test measures the levels of different types of hemoglobin, including fetal hemoglobin (HbF), using a specialized blood sample analysis.

Quick summary

["Understanding your fetal hemoglobin levels can help diagnose or monitor certain blood disorders."]

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

Key facts at a glance

LOINC
44921-5
Short code
Hgb D MFr Bld HPLC
Synonyms
Hgb D MFr Bld HPLC
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
hplc
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

Why This Test Is Done

Your healthcare provider may order this test if you have symptoms like anemia, unexplained fatigue, or if you’re being evaluated for conditions like thalassemia or sickle cell disease. Fetal hemoglobin (HbF) levels can also be checked during pregnancy to assess fetal health or genetic risks.

What to Expect Before the Test

No special preparation is needed. A blood sample will be drawn from a vein, usually in your arm. You may feel a slight pinch, but it’s quick and typically not painful. If you’re pregnant, let your provider know to ensure safe testing procedures.

What the Results Mean

The test separates hemoglobin into its components, including HbF, which is naturally present in adults at low levels but higher in fetuses and children. Abnormal levels may indicate genetic blood disorders or other conditions affecting red blood cell production.

Common Conditions Monitored

This test is often used to diagnose or monitor conditions like beta-thalassemia, sickle cell disease, or other hemoglobinopathies. It can also help assess fetal hemoglobin levels in prenatal care or research settings.

Reference range

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

Specimen: whole-blood

No special preparation required. Inform provider of any chest pain or symptoms.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

HPLC HbF profile

Frequently asked questions

What does an abnormal HbF level mean?
An abnormal HbF level may signal a genetic blood disorder, such as thalassemia or sickle cell trait, or other conditions affecting red blood cell production. Your provider will review your full medical history and symptoms to explain further.
How is this test different from a regular hemoglobin test?
Unlike standard hemoglobin tests that measure overall red blood cell content, this test specifically breaks down hemoglobin into its components, including HbF, to assess proportions of different hemoglobin types.
Is this test painful?
The blood draw is quick and typically causes only mild discomfort. Most people describe it as similar to having a small needle stick. If you’re anxious, let your provider know so they can offer additional support.
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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