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HGBI
HEMOGLOBIN, BLOOD

Test Code HGBI 
Test HEMOGLOBIN, BLOOD 
Methodology Impedance 
Description Useful for the detection of anemia

NOTE: This test, when ordered on Medicare patients, is subject to the National Coverage Determination (NCD) policy "Blood Counts".. Please verify that the diagnosis code (ICD-9) you have chosen demonstrates medical necessity for the test as documented in the physician's patient record. The CMS web site or the NorDx Limited Coverage Documentation Guide are available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD-9 code chosen. 

Specimen Draw blood in a lavender-top (EDTA) tube. Mix well, and send 1.0 mL of EDTA whole blood refrigerated. (CLOTTED, OR GROSSLY HEMOLYZED SPECIMEN IS NOT ACCEPTABLE.) 
Reference Values Adult males: 13.0 - 17.4 g/dL
Adult females: 11.8 - 15.8 g/dL
Critical values (automatic call-back): <= 7.0 g/dL

Values expressed as g/dL
1 - 3 days, Male: 14.7 - 18.6
1 - 3 days, Female: 12.7 - 18.3
4 - 7 days, Male: 13.4 - 17.9
4 - 7 days, Female: 12.2 - 18.7
8 - 14 days, Male: 11.1 - 16.7
8 - 14 days, Female: 11.9 - 16.9
15 - 30 days, Male: 9.9 - 14.9
15 - 30 days, Female: 10.5 - 14.7
31 - 180 days, Male and Female: 8.9 - 12.2
0.5 - 6 years, Male: 10.3 - 12.7
0.5 - 6 years, Female: 10.1 - 12.4
6 - 12 years, Male: 11 - 13.3
6 - 12 years, Female: 10.9 - 13.3 

Analytic Time 1 Day - Available STAT 
Day(s) Test Set Up Monday through Sunday 
CPT Code(s) 85018