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High-Performance Liquid Chromatography (HPLC) Analysis of Hemoglobin Variants in Whole Blood

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

This test measures different forms of hemoglobin in your blood using high-performance liquid chromatography. Hemoglobin is the protein in red blood cells that carries oxygen, and variations can sometimes indicate genetic conditions or other health factors.

Quick summary

["This test helps identify unusual hemoglobin types that may require further medical evaluation."]

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

Key facts at a glance

LOINC
71856-9
Short code
Hgb Other MFr.DF Bld HPLC
Synonyms
Hgb Other MFr.DF 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 Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like fatigue, pale skin, or unusual blood test results. It’s also used in genetic testing for conditions like sickle cell disease or thalassemia, where specific hemoglobin variants are common.

What to Expect Before the Test

No special preparation is needed. You’ll have a small needle inserted into your arm to draw a blood sample. The test is usually done in a lab and may take a few hours to complete, depending on the number of variants being checked.

What the Results Mean

The test identifies specific hemoglobin types, such as HbA, HbA2, or abnormal variants like HbS (sickle cell). Normal results show typical hemoglobin forms, while unusual patterns may signal genetic disorders or other conditions that need further medical attention.

Common Conditions Linked to Abnormal Hemoglobin

Abnormal hemoglobin variants can be linked to inherited blood disorders like sickle cell disease, thalassemia, or other genetic conditions. These conditions can affect how well your blood carries oxygen, leading to symptoms like anemia or pain.

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.

This test is crucial for diagnosing genetic blood disorders early, allowing for targeted treatments and management plans. It helps healthcare providers monitor how well your blood is functioning and plan appropriate care.

Short name

HPLC Hemoglobin Variants

Frequently asked questions

What does an abnormal hemoglobin variant mean?
An abnormal variant may indicate a genetic condition like sickle cell disease or thalassemia. These conditions can cause problems with red blood cell production or shape, leading to symptoms such as fatigue, pain, or anemia. Your doctor will discuss next steps, such as further testing or treatment options.
How often should I get this test?
The frequency depends on your medical history and symptoms. If you have a known genetic condition affecting hemoglobin, your doctor may recommend regular monitoring. Otherwise, this test is usually done only when needed for diagnosis or evaluation.
Can diet or lifestyle affect hemoglobin variants?
While diet and lifestyle can influence overall blood health, they typically don’t directly change the type of hemoglobin variants detected in this test. However, managing conditions like anemia or genetic disorders with proper nutrition and medical care can help support overall blood function.
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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