Hemoglobin A2 Quantification by HPLC

General Information

Lab Name

Hemoglobin A2 Quant

Lab Code

HBA2

Epic Name

Hemoglobin A2 Quant

Description

Hb A2 is eluted from the column resin by a programmed buffer gradient of increasing ionic strength. Hb A2 measurement is best interpreted in conjunction with other testing in the Thalassemia Reflexive Panel and red cell indices and iron supply measurements.

Synonyms

HbA2, Hb A2

Interpretation

Method

High Performance Liquid Chromatography (HPLC)

Reference Range

Units: %

Female Male
AgeRangeAgeRange
0-6m<3.5 0-6m<3.5
7m-2.3-3.5 7m-2.3-3.5

Effective date: 11/02/2012

Interferences and Limitations

Variant hemoglobins such as Hb S, Hb C, Hb D interfere with measurement of Hb A2, so Hb A2 is not reported in the presence of these variants. Hb E co-elutes with Hb A2 and thus the level reported is the sum of percentages of Hb E and Hb A2.

Guidelines

Ordering & Collection

Specimen Type

Blood

Collection

3 mL LAVENDER HEMOGARD tube
Pediatric draw: 3 LAVENDER TOP MICROTAINER

Quantity

requested: 3 mL whole blood
minimum: 1.5 mL whole blood

Processing

Refrigerate whole blood Stability: EDTA: Refrigerated, 7 days. Ambient, 2 days.

Unacceptable: Other anticoagulants, Frozen samples.

Performance

LIS Dept Code

Red Cell Disorders (RCD)

Performing Location(s)

HMC Red Cell Disorders
206-520-4600

325 9th Ave, Rm # GWH-47, Seattle, WA 98104-2420

Frequency

Monday - Friday

Available STAT?

No

Billing & Coding

CPT codes

83021

LOINC

42245-1

Interfaced Order Code

UOW737

Interfaced Result Code

UOW737