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Hemoglobin Electrophoresis (Sickle Cell Screening)

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

This blood test checks for abnormal hemoglobin variants, including sickle hemoglobin (HbS), which can cause conditions like sickle cell disease or sickle cell trait.

Quick summary

["Helps identify genetic risks for blood disorders that may affect oxygen transport in your body."]

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

Key facts at a glance

LOINC
94538-6
Short code
Hgb HPLC + electrophoresis Pnl Bld
Synonyms
Hgb HPLC + electrophoresis Pnl Bld
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
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 This Test Is Done

Your doctor may recommend this test if you have a family history of sickle cell disease, live in an area with higher prevalence of sickle cell traits, or experience symptoms like fatigue, pain, or frequent infections. It’s also part of routine newborn screening in some regions.

What to Expect Before the Test

You’ll have a small needle inserted into your arm to draw a small amount of blood. The test is quick and usually done in a lab setting. No special preparation is needed, but avoid eating or drinking for a short time before if instructed.

What Happens During the Test

The blood sample is analyzed using electrophoresis, a method that separates different types of hemoglobin based on their electrical charge. This helps identify any abnormal hemoglobin variants.

Results and Interpretation

Results are typically reported as either positive or negative for sickle hemoglobin or other variants. A positive result means you have a higher risk of sickle cell traits or disease, which may guide further testing or monitoring.

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.

Detecting sickle hemoglobin early can help manage symptoms, prevent complications, and inform genetic counseling. Sickle cell trait (HbAS) is usually harmless but may cause mild symptoms under stress or dehydration. Sickle cell disease (HbSS) is a severe genetic disorder requiring lifelong management.

Short name

Sickle Cell Trait/Sickle Cell Disease Screening

Frequently asked questions

What does a positive result mean?
A positive result means you may have sickle cell trait (HbAS) or sickle cell disease (HbSS). Your doctor will discuss next steps, which may include genetic testing or monitoring for symptoms.
How often should I get this test?
If you have a family history or symptoms, your doctor may recommend testing every few years. If you’re pregnant, testing may be done more frequently to assess risks to you and your baby.
Can lifestyle changes help if I have sickle cell trait?
Yes! Staying hydrated, avoiding extreme heat, and managing stress can help prevent symptoms. Avoid smoking and certain medications that may worsen symptoms.
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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