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Hemoglobin Subtype Analysis (Screening) by Immunoassay

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

This test measures different types of hemoglobin in your blood to help identify conditions like sickle cell disease or other hemoglobinopathies.

Quick summary

["A simple blood test to check for abnormal hemoglobin variants that may affect your health."]

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

Key facts at a glance

LOINC
34618-9
Short code
Hgb Spec Ql
Synonyms
Hgb Spec Ql
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 Matters

Hemoglobin is the protein in red blood cells that carries oxygen. Certain types of hemoglobin can cause health problems, such as anemia, pain crises, or organ damage. This screening helps detect rare or inherited hemoglobin disorders early.

What to Expect Before the Test

You’ll have a small needle inserted into your arm to draw blood. The process takes about 5 minutes. No special preparation is needed, but let your doctor know if you’re on blood thinners or have a history of bleeding issues.

Common Conditions This Test Helps Diagnose

This screening may be used if you have symptoms like fatigue, frequent infections, or unusual pain (e.g., in the chest or abdomen). It’s also part of prenatal testing for families with a history of hemoglobin disorders.

What the Results Mean

Results show the proportion of different hemoglobin types. Abnormal patterns may indicate conditions like sickle cell trait (a mild form) or sickle cell disease (a severe inherited disorder). Your doctor will interpret results in the context of your symptoms and family history.

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.

Early detection of hemoglobin variants can prevent complications like organ damage, stroke, or severe pain episodes. For example, sickle cell trait is usually harmless but can cause problems under stress (e.g., high altitude, dehydration). Confirmatory tests may follow if screening results are abnormal.

Short name

Hb Subtype Screen

Frequently asked questions

What triggers this screening test?
Your doctor may recommend this test if you have symptoms like persistent fatigue, unusual pain, frequent infections, or if you’re from a region where hemoglobin disorders are common. It’s also part of genetic counseling for families with a history of sickle cell disease or thalassemia.
How often should I get this test?
This is typically a one-time screening unless you have symptoms or a family history that warrants follow-up. If your results are abnormal, your doctor may order additional tests or monitor you more closely.
Can I eat or drink before this test?
No special diet is needed before this test. You can eat and drink normally, but let your doctor know if you’re taking any medications that might affect blood clotting.
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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