Hemoglobin Electrophoresis (Isoelectric Focusing)

General Information

Lab Name

Hb Elect._Isoelectric Focusing

Lab Code

HBELEC

Epic Name

Hemoglobin Electrophoresis (Isoelectric Focusing)

Description

Hemoglobin electrophoresis alone is not adequate for diagnosing thalassemia. Electrophoresis is limited to identification without fractionation, quantification or interpretation. This test is useful for screening for sickle cell trait for athletes other than those on UW teams. For most red cell disorders, we suggest instead ordering "Hb Disorder Thalassemia Reflex Pnl w/CBC" [HBTHLI]. If a CBC was performed within 30 days, order "Hb Disorder Thalassemia Reflexive Panel" [HBTHAL]. Both panels include hb electrophoresis, reflexive testing for thalassemia and an interpretation.

Synonyms

HB ELP, Hemoglobinopathy, hemoglobinopathy, red cell, Sickle Cell Trait, Sickle Cell-Routine, Sickle Dex-Routine

Components

Code Name
HER Hb Electrophoresis Result
HBDET Hemoglobins Detected
HBCOM Hb Elect. Comment

Interpretation

Method

Isoelectric Focusing Electrophoresis (IEF)

Reference Range

See individual components

Ref. Range Notes

Within Normal Limits

Guidelines

Ordering & Collection

Specimen Type

Blood

Collection

3 mL LAVENDER HEMOGARD tube

Pediatric draw: 3 LAVENDER TOP MICROTAINER

Handling Instructions

For STAT requests from ED location, see [SICPRE] Sickle Screen, Stat, ED only.

Quantity

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

Processing

Refrigerate entire sample. If sickle screen is ordered, but not from ED location, login HBELEC.

If request is for Quantitative HbS or Hb Variant Quant., for pre- or post-transfusion, login HBQVAR.

If request is for Quantitative HBF for hydroxyurea therapy, login HBF.

Stability: EDTA: Refrigerated, 7 days. Ambient, 2 days

Unacceptable: Other anticoagulants, Frozen specimen

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

83020

LOINC

43113-0

Interfaced Order Code

UOW414