Hemoglobin Unstable Red Blood Cell Fraction (Serum/Plasma)
This test measures the portion of hemoglobin found in red blood cells that may break down into unstable forms, which can sometimes indicate red blood cell health or certain blood disorders.
["Assessing unstable hemoglobin helps identify potential red blood cell issues that may require further evaluation."]
Key facts at a glance
- LOINC
- 4639-1
- Short code
- Hgb Unstab RBC Ql
- Synonyms
- Hgb Unstab RBC Ql
- Category
- hematology
- Sample
- whole-blood
- Container
- Lavender-top (EDTA)
- Units
- N/A
- Ref low
- 7
- Ref high
- 20
- Critical range
- 7 N/A – 20 N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- CPT
- 84520
- SNOMED
- 2739004
- 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 Is This Test Measuring?
Hemoglobin is the protein in red blood cells that carries oxygen. Some hemoglobin molecules can become unstable over time, especially if red blood cells are damaged or have an abnormal lifespan. This test focuses on the fraction of hemoglobin that exists in an unstable form within red blood cells, which can be detected in serum or plasma samples.
Why Might This Test Be Ordered?
Your healthcare provider may order this test if you have symptoms like fatigue, pale skin, or unusual bruising, or if you have conditions such as anemia, hemolytic disorders, or certain blood cancers. It may also be part of a broader evaluation for unexplained red blood cell abnormalities.
How Is the Sample Collected?
A blood sample is drawn from a vein, usually in your arm. The blood is then processed to separate serum or plasma for testing. This test does not require fasting or special preparation beyond standard blood draw procedures.
What Are Possible Results?
Results are typically reported as a fraction or percentage of unstable hemoglobin relative to total hemoglobin. Higher-than-expected levels may suggest red blood cell instability, while normal levels do not indicate a problem unless other symptoms or test results support it.
Reference range
Adult: 7-20 mg/dLN/A
No special preparation required. Stay well hydrated.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Short name
Hemoglobin in RBCs (unstable form)
Frequently asked questions
What does an elevated unstable hemoglobin level mean?
Does this test require fasting?
Can this test be done on urine or other samples?
Sources
- 1
- 2Lab Tests OnlineSource
- 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.
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