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Hemoglobin Mass Fraction in Red Blood Cells (by Flow Cytometry or Similar Method)

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

This test measures the total amount of hemoglobin within your red blood cells, which can help assess overall red blood cell health and potential anemia.

Quick summary

["Helps evaluate red blood cell function and anemia risk."]

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

Key facts at a glance

LOINC
4588-0
Short code
Hgb H MFr Bld
Synonyms
Hgb H 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 Is This Test Measuring?

Hemoglobin is the protein in red blood cells that carries oxygen. This test specifically looks at the *mass fraction* of hemoglobin inside your red blood cells, rather than just the total hemoglobin level in your blood. It may be used to help diagnose or monitor conditions affecting red blood cell production or structure.

Why Might You Need This Test?

Your healthcare provider may order this test if you have symptoms like fatigue, pale skin, or shortness of breath, which can indicate anemia or other blood-related conditions. It may also be part of a broader evaluation for genetic blood disorders or after certain treatments that affect red blood cells.

How Is This Test Performed?

A small blood sample is drawn from a vein, typically in your arm. The sample is then analyzed using a specialized method (such as flow cytometry) to measure the hemoglobin content within individual red blood cells. Results are compared to general reference ranges for healthy adults.

What Do the Results Mean?

Results may be reported as a percentage or ratio of hemoglobin mass relative to red blood cell volume. Lower-than-expected values could suggest conditions like iron deficiency anemia, thalassemia, or other inherited blood disorders. Higher-than-expected values may rarely indicate conditions like polycythemia.

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

Hemoglobin Mass in RBCs

Frequently asked questions

How often can I expect this test?
This test is not routinely performed on a regular basis for most patients. It may be ordered as needed based on symptoms, diagnostic questions, or specific clinical circumstances.
What are the typical preparation instructions?
No special preparation is usually required. However, avoid heavy meals or strenuous activity 1–2 hours before your blood draw if instructed by your provider.
Are there any risks or side effects?
The most common side effect is mild bruising, redness, or soreness at the injection site. Rarely, there may be a slight pinching sensation during the blood draw. Most people tolerate the procedure well.
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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