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Hemoglobin F (HbF) Percentage in Blood by High-Performance Liquid Chromatography (HPLC)

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

This test measures the percentage of fetal hemoglobin (HbF) in your blood, which is naturally present in newborns but typically decreases as the body produces adult hemoglobin. It may be checked if you have certain blood disorders or conditions requiring detailed hemoglobin analysis.

Quick summary

["HbF percentage helps diagnose and monitor conditions affecting hemoglobin structure or blood disorders."]

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

Key facts at a glance

LOINC
42912-6
Short code
Hgb sp2 Spec gastro Ql
Synonyms
Hgb sp2 Spec gastro Ql
Category
hematology
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
10
Ref high
40
Critical range
7 N/A – 20 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84484
SNOMED
302774002
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 Might This Test Be Ordered?

Your healthcare provider may order this test if you have symptoms like anemia, fatigue, or a family history of blood disorders. It may also be used to evaluate conditions such as thalassemia, sickle cell disease, or other hemoglobinopathies where HbF levels can provide important diagnostic clues.

What Does the Test Measure?

HbF is a type of hemoglobin found in newborns and some adults with certain genetic conditions. This test specifically measures the proportion of HbF relative to all hemoglobin in your blood using HPLC, a precise method that separates different hemoglobin types.

Sample Collection and Preparation

A small blood sample is drawn from a vein, typically in your arm. The blood is processed to separate hemoglobin types for analysis. No special preparation is needed, but fasting may be advised depending on the clinical context.

What Are Common Clinical Uses?

HbF percentage testing is often used to confirm or monitor conditions like thalassemia, sickle cell trait, or other hemoglobin-related genetic disorders. It can also help assess fetal hemoglobin levels in adults with certain blood disorders.

Reference range

Adult: 10-40 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

HbF % (HPLC)

Frequently asked questions

What does an abnormal HbF percentage mean?
An abnormal HbF percentage may indicate underlying genetic conditions affecting hemoglobin production, such as thalassemia or sickle cell trait. High levels might suggest certain genetic disorders, while low levels could be normal in adults or indicate other conditions requiring further evaluation by a healthcare provider.
How is this test different from a general hemoglobin test?
Unlike general hemoglobin tests that measure total hemoglobin levels, this test specifically measures the percentage of fetal hemoglobin (HbF). It provides a more detailed breakdown of hemoglobin types, useful for diagnosing specific blood disorders.
Is there any preparation needed before this test?
Generally, no special preparation is required. However, your healthcare provider may advise against certain medications or fasting depending on the clinical context or additional tests being performed.
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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