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Hemoglobin Fraction Analysis by Electrophoresis (Serum/Plasma)

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

This test measures different types of hemoglobin in your blood, which helps identify variations that may indicate conditions like anemia, blood disorders, or genetic blood diseases.

Quick summary

["This test helps doctors understand how your hemoglobin is made up and spot potential blood problems early."]

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

Key facts at a glance

LOINC
18291-5
Short code
Hgb F MFr Bld NB
Synonyms
Hgb F MFr Bld NB
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?

Hemoglobin is the protein in red blood cells that carries oxygen. Your blood contains several types of hemoglobin, including hemoglobin A (the most common), hemoglobin A2, and fetal hemoglobin. This test uses electrophoresis to separate these hemoglobin fractions for analysis. Electrophoresis is a method that sorts molecules based on their electrical charge and size, allowing doctors to see how different hemoglobin types are present in your blood.

Why Might Your Doctor Order This Test?

Your doctor may recommend this test if you have symptoms like fatigue, pale skin, unusual bruising, or if they suspect conditions such as thalassemia, sickle cell disease, or other hemoglobinopathies. It can also be used during pregnancy to check fetal hemoglobin levels or in research settings to study hemoglobin variants.

Sample Collection and Preparation

A blood sample is drawn from a vein, usually in your arm. The blood is then processed to separate the serum or plasma, which is sent to the lab for electrophoresis. This process does not require any special preparation on your part, but you should avoid eating or drinking for a few hours before the test if instructed.

How the Results Are Interpreted

The results show the proportions of different hemoglobin types. For example, an abnormal increase in fetal hemoglobin might suggest conditions like thalassemia or sickle cell disease. Your doctor will compare these results to your symptoms and other test findings to make a diagnosis.

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

Hb Fraction Electrophoresis

Frequently asked questions

What Are Common Causes of Abnormal Results?
Abnormal hemoglobin fractions can result from genetic disorders (like thalassemia or sickle cell disease), certain medications, or conditions affecting red blood cell production. For example, high fetal hemoglobin often points to inherited blood disorders, while unusual patterns may indicate metabolic or enzyme deficiencies.
How Long Does It Take to Get Results?
Results are typically available within 24 to 48 hours, depending on lab processing times. Your doctor will contact you once the results are ready.
Can This Test Be Done at Home?
No, this test requires a blood sample collected by a healthcare professional in a clinical setting. Home blood tests for hemoglobin fractions are not standard and are not reliable for diagnostic purposes.
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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