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Test Code LAB202 hCG (Human Chorionic Gonadotropin), Quantitative, Plasma or Serum

Important Note

Please see LABHCGHS for monitoring patients for retained products of conception or of aiding in the diagnosis of gestational trophoblastic disease (GTD), testicular tumors, ovarian germ cell tumors, teratomas, and, rarely, other human chorionic gonadotropin (hCG)-secreting tumors .

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).

Methodology

Chemiluminescent Microparticle Immunoassay (CMIA)

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.

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

Chemistry-

 St. Joseph's Medical Center Lab

Deer River Hospital Lab, Northern Pines Lab, Sandstone Hospital Lab, SMDC Clinical Lab, St. Mary's Hospital - Superior Lab, Virginia Hospital Lab, Moose Lake Hospital Lab

 Fargo Hospital Lab, Fosston Hospital Lab, St. Mary's - Detroit Lakes Hospital Lab

 

Test Classification and CPT Coding

84702

Reference Values

Negative: <5 mIU/mL

Indeterminate: 5-25 mIU/mL

Positive: >25 mIU/mL