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hemoglobin fractionation
Synonyms: Hemoglobin Electrophoresis 
Computer Code: (HEMF)
Specimen Collection: 1 mL of blood (lavender top tube).
Pediatrics: 0.25 mL blood (lavender microtainer).
Genetic Consent Required (see Test Requisition and Consent #24). 
Minimum Volume: 1 mL 
Handling Instructions for Offsite Areas: Refrigerate. 
Reference Values: Hemoglobin A2: >1 yr = 1.7-3.3% 6 mo-1yr = <2.7% 3-6 mo = <2.5% 1-3 mo = <2.3% 0-1 mo = <1.0% Hemoglobin F: > 1 yr = <2.0 6 mo-1 yr = <8.0 3-6 mo = 8.0-40.0 0-3 mo = 40.0-85.0 Hemoglobin A: >1 yr = 94.0-98.0 Hemoglobin S: None Hemoglobin C: None  
Lab Code: CC 
Requisition: SPEC C See Test Requisition 24
Test Frequency: Weekly 
Routine TAT: 7 days 
Stat TAT: 1 day (Call lab for stat testing.) 
CPT Code(s): 83020 
LCD or NCD:  
Methodology Used: 37
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 04/18/2014
Time: 04:34:29 (24hr)