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High-Performance Liquid Chromatography (HPLC) Analysis of Hemoglobin F Fractionation

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

This test measures different types of hemoglobin, including fetal hemoglobin (HbF), using high-performance liquid chromatography. It helps assess blood composition and can be useful in diagnosing certain blood disorders.

Quick summary

["This test helps evaluate hemoglobin types and may support diagnosis of conditions like thalassemia or sickle cell disease."]

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

Key facts at a glance

LOINC
71858-5
Short code
Hgb S MFr.DF Bld HPLC
Synonyms
Hgb S 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

What This Test Measures

HPLC separates hemoglobin into its components, including adult hemoglobin (HbA), fetal hemoglobin (HbF), and other variants. The test provides detailed information about the proportion of each type present in your blood.

Why It’s Ordered

Doctors may order this test to diagnose or monitor conditions affecting hemoglobin, such as thalassemia, sickle cell disease, or other inherited blood disorders. It can also help assess fetal hemoglobin levels in certain genetic studies.

Sample Collection and Preparation

A blood sample is drawn from a vein, typically in your arm. The blood is processed to separate hemoglobin components before analysis. This test requires a fresh or stored blood sample sent to a lab for HPLC analysis.

What to Expect Before the Test

No special preparation is needed, but inform your healthcare provider if you are on blood-thinning medications or have any bleeding disorders. Avoid heavy exercise or eating a large meal before the draw to ensure accurate results.

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.

Abnormal levels of HbF or other hemoglobin variants can indicate genetic blood disorders. Elevated HbF, for example, is common in thalassemia and may help guide treatment decisions. This test is critical for diagnosing conditions that affect red blood cell production or structure.

Short name

HPLC HbF Profile

Frequently asked questions

What does an abnormal result mean?
An abnormal result may suggest an inherited blood disorder, such as thalassemia or sickle cell trait. Your healthcare provider will discuss findings with you and may recommend further testing or monitoring based on your symptoms and medical history.
How often should I get this test?
The frequency depends on your medical condition. If you have a known blood disorder, your doctor may order this test regularly to monitor your hemoglobin profile. If you’re asymptomatic, it may only be done during specific evaluations.
Can lifestyle changes affect this test?
While lifestyle factors like diet or exercise generally don’t directly impact hemoglobin types measured by HPLC, avoiding blood-thinning medications or bleeding risks before the test is important. Follow your doctor’s instructions for optimal results.
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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