Test Code LAB202 hCG (Human Chorionic Gonadotropin), Quantitative, Plasma or Serum
Additional Codes
| Test Name in EPIC | EPIC Test Code | Mnemonic |
|---|---|---|
| HCG | LAB202 | HCGQ |
Useful For/Utility
Early detection of pregnancy
Investigation of suspected ectopic pregnancy or other pregnancy-related complications
Monitoring in vitro fertilization patients
This test is not useful for detecting or monitoring tumors or gestational trophoblastic disease (GTD).
Clinical Information
Human chorionic gonadotropin (hCG) is a glycoprotein hormone that consists of 2 subunits (alpha and beta chains) that are associated to comprise the intact hormone. The alpha subunit is similar to those of luteinizing hormone, follicle-stimulating hormone, and thyrotropin (previously known as thyroid-stimulating hormone). The beta subunit of hCG differs from other pituitary glycoprotein hormones, which results in its unique biochemical and immunological properties. This method quantitates the sum of intact hCG plus the beta subunit.
hCG is produced in the placenta during pregnancy. In nonpregnant individuals, it can also be produced by tumors of the trophoblast, germ cell tumors with trophoblastic components, and some non-trophoblastic tumors. The biological action of hCG serves to maintain the corpus luteum during pregnancy. It also influences steroid production. The serum in pregnant individuals contains mainly intact hCG. Measurement of the hCG concentration permits the diagnosis of pregnancy as early as 1 week after conception.
Methodology
Chemiluminescent Microparticle Immunoassay (CMIA)
Specimen Requirements
Submit only 1 of the following specimens:
Preferred:
Specimen Type: Plasma
Container/Tube: Light-green top (lithium heparin gel)
Specimen Volume: 1 mL
Specimen Minimum Volume: 0.3 mL
Additional Information: Avoid repeated freeze/thaw cycles.
Alternate:
Specimen Type: Serum
Container/Tube: Serum gel
Specimen Volume: 1 mL
Specimen Minimum Volume: 0.3 mL
Additional Information: Avoid repeated freeze/thaw cycles.
Specimen Transport Temperature
Refrigerate 5 days/Ambient NO/Frozen 1 Year
Day(s) Test Set Up
Monday through Sunday
Performing Laboratory
| Minnesota | North Dakota | Wisconsin |
|---|---|---|
| Deer River Hospital | Fargo Hospital | St. Mary's Hospital - Superior |
| Fosston Hospital | Mid Dakota Bismarck 9th St Clinic | |
| Moose Lake Hospital | ||
| Northern Pines (Aurora) | ||
| Sandstone Hospital | ||
| SMDC Clinical Lab (Duluth) | ||
| St. Joseph's Medical Center (Brainerd) | ||
| St. Mary's - Detroit Lakes Hospital | ||
| Virginia Hospital |
Test Classification and CPT Coding
84702
Reference Values
Negative: <5 mIU/mL
Indeterminate: 5-25 mIU/mL
Positive: >25 mIU/mL