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Test Code QHCG Chorionic Gonadotropin (hCG), Beta-Chain, Quantitative, Plasma

Performing Laboratory

NRL-Chemistry

Methodology

Immunoenzymatic Assay

Note: A negative quantitative result is <5 mIU/mL.

Specimen Requirements

Specimen Type: Plasma

Container/Tube: Mint-green (lithium heparin)

Specimen Volume: 2 mL

Additional Information: Clinical history, date of last menstrual period (LMP) or dilation and curettage (D&C), suspected neoplasm, and week of gestation are required.

 

Specimen Type: Serum

Container/Tube: Gold gel tube

Specimen Volume: 2 mL

Additional Information: Clinical history, date of last menstrual period (LMP) or dilation and curettage (D&C), suspected neoplasm, and week of gestation are required.

Reference Values

Quantitative hCG Expected Values:
hCG is not normally detected in the serum of healthy men and healthy, non-pregnant females.

 

A negative quantitative result is <5 mIU/mL.


Pregnant females normally attain serum hCG concentrations up to 50 mIU/mL in the week following conception or the third week after LMP. A maximum is reached by the second to third month, followed by a decrease to as low as 4,000 mIU/mL by the third trimester (6-9 months).


During the first 6 weeks of pregnancy, serum hCG concentrations have a doubling time of approximately 1.5 to 3 days. Following delivery, hCG concentrations rapidly decrease and usually return to normal within several days post-partum.


Elevated serum hCG concentrations have been reported in patients diagnosed as having choriocarcinoma, hydatidiform mole; and some non-trophoblastic malignancies including testicular tumors, prostate cancer, breast cancer, and lung cancer.


Values below the lower limit of normal may be associated with ectopic pregnancy or spontaneous or incomplete abortion.

<5 mIU/mL is reported as <5.
Second trimester (29-41 weeks): 940 (lower limit) or 60,000 (upper limit)

 

QUANTITATIVE BETA-hCG

1-200,000 mIU/mL

Weeks Gestation Lower and Upper Limit (mIU/mL)
0.2-1 5-50
1-2 50-500
2-3 100-5,000
3-4 500-10,000
4-5 1,000-50,000
5-6 10,000-100,000
6-8 15,000-200,000
8-12 10,000-100,000


 

 

 

 

 

 

 

 

 

 

 

 

 

Day(s) Test Set Up

Monday through Sunday

Turnaround Time:

STAT-1 hour

Routine-shift

Specimen Transport Temperature

Refrigerate

Test Classification and CPT Coding

84702