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High-Performance Liquid Chromatography (HPLC) Measurement of Hemoglobin F Fraction in Serum or Plasma

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

This test measures the percentage of fetal hemoglobin (HbF) in your blood, which is a type of hemoglobin found in babies and some adults. HbF can provide insights into conditions like beta thalassemia or certain blood disorders.

Quick summary

["HbF levels may help diagnose or monitor certain blood-related conditions."]

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

Key facts at a glance

LOINC
54104-5
Short code
Hgb Fract DBS HPLC
Synonyms
Hgb Fract DBS HPLC
Category
hematology
Sample
serum
Container
Red-top tube (SST)
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
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 Is This Test Done?

Your healthcare provider may order this test to diagnose or monitor conditions affecting hemoglobin production, such as thalassemia syndromes, sickle cell disease, or other inherited blood disorders. It can also be used in research or specialized clinical settings to study hemoglobin variants.

What Does the Test Measure?

The test quantifies the proportion of fetal hemoglobin (HbF) relative to total hemoglobin in your blood. Fetal hemoglobin is naturally present in newborns but typically decreases after birth. Abnormal levels may indicate genetic or acquired blood disorders.

Sample Collection and Preparation

A blood sample is drawn from a vein, usually in your arm. The blood is processed to separate serum or plasma, which is then analyzed using high-performance liquid chromatography (HPLC) to measure HbF levels.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to avoid certain medications or foods that could interfere with results. Follow your healthcare provider’s instructions if you have any specific instructions.

Reference range

Adult males: 13.5-17.5 g/dL; Females: 12.0-16.0 g/dLN/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 levels of HbF may be associated with conditions like beta thalassemia trait, sickle cell disease, or other hemoglobinopathies. Lower-than-expected levels could suggest conditions affecting red blood cell production or certain genetic disorders. HbF levels are also studied in research settings to understand hemoglobin function and disease mechanisms.

Short name

HbF Fraction (HPLC)

Frequently asked questions

What are the normal ranges for HbF?
Normal HbF levels vary widely and depend on age, genetics, and health status. In newborns, HbF levels are typically high (around 60-80% of total hemoglobin). In adults, HbF levels are usually very low (often below 1-2%), but exceptions exist in certain genetic conditions.
How long does it take to get the results?
Results are typically available within 1 to 3 business days, depending on your lab’s processing time. Your healthcare provider will contact you with the results once they are ready.
Can lifestyle changes affect HbF levels?
While lifestyle factors like diet or exercise generally do not directly affect HbF levels, certain medications (e.g., hydroxyurea for sickle cell disease) or genetic conditions may influence them. Always discuss any medications or supplements with your healthcare provider 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