Skip to content

Hemoglobin F (HbF) Percentage in Blood

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

This test measures the percentage of fetal hemoglobin (HbF) in your blood. Fetal hemoglobin is the type of hemoglobin found in a baby’s blood before birth and for the first few months of life.

Quick summary

["HbF percentage helps assess red blood cell development and may be relevant in certain blood disorders or pregnancy-related conditions."]

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

Key facts at a glance

LOINC
27401-9
Short code
Hgb sp6 Stl gastro Ql
Synonyms
Hgb sp6 Stl gastro Ql
Category
hematology
Sample
stool
Container
Clean container
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 g
Stability
Refrigerated: 24h, Frozen: 7d
TAT
4–24 hours
Order
routine

This test measures the amount of fetal hemoglobin (HbF) in your blood. It is done to help diagnose or monitor conditions such as sickle cell disease, beta thalassemia, and certain bone marrow disorders, or to check how well your treatment is working over time.

Doctors may order this test to evaluate conditions like thalassemia, sickle cell disease, or other inherited blood disorders. It can also be used during pregnancy to monitor fetal development or in newborns to diagnose potential genetic blood issues.

A small blood sample is collected, usually from a vein in your arm, by a trained healthcare professional. Little preparation is needed, but you should tell your doctor about any medicines, vitamins, or supplements you take, since some of them may affect your results.

A small blood sample is drawn from a vein, usually in your arm. The blood is processed to separate the hemoglobin types for analysis. This test is typically performed on whole blood.

Before the test, a healthcare professional will explain the procedure and answer your questions. You can usually eat and drink normally unless you are told otherwise. Wear a sleeve that can be rolled up easily, and let the staff know if you have ever felt faint during a blood draw or take blood thinners.

No special preparation is needed, but inform your healthcare provider if you are on blood-thinning medications or have any bleeding disorders. Avoid strenuous activity 24 hours before the test if instructed.

Normal results vary by age. Healthy adults typically have less than 1% HbF, while newborns normally have much higher levels that decrease during the first months of life. Your doctor will compare your value with the reference range and explain what your specific result means for you.

Normal results vary by age and individual health. In newborns, HbF levels are typically high (often 60%–80%). In adults, HbF levels are usually very low (around 0.1%–2%). Your doctor will compare your results to your age and health status.

Reference range

Adult: 10-40 U/LN/A

Specimen: stool

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

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

HbF %

Frequently asked questions

High HbF levels may indicate conditions like thalassemia, sickle cell trait, or certain cancers that produce abnormal red blood cells. Low levels in adults can sometimes suggest polycythemia or other blood-related disorders. During pregnancy, abnormal HbF levels may warrant further evaluation to rule out fetal genetic conditions.
An elevated HbF percentage can occur in sickle cell disease, beta thalassemia, hereditary persistence of fetal hemoglobin, and some bone marrow conditions. Higher levels may also appear during pregnancy or recovery from certain treatments. Your doctor will interpret this result together with your symptoms and other test findings.
An elevated HbF percentage often suggests an underlying blood disorder, such as thalassemia or sickle cell disease. It may also be seen in certain cancers or during pregnancy if the fetus has a genetic condition. Your doctor will discuss the results in detail and may recommend further testing.
How often this test is done depends on your condition and treatment plan. Some people have it checked every few months to monitor a blood disorder or see how well therapy is working, while others only need it occasionally. Follow the schedule your doctor recommends for your individual situation.
The frequency depends on your medical condition. For example, people with thalassemia or sickle cell disease may need this test regularly. Pregnant women or newborns may also have this test as part of routine monitoring. Always follow your healthcare provider’s instructions.
No, HbF levels are primarily determined by genetic factors and blood cell production. However, managing conditions like anemia or iron deficiency with proper diet and treatment can indirectly support overall blood health.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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