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Hemoglobin A1c

Important Note

*This test is orderable in Cerner as Hemoglobin A1c

This test subject to reflex testing. If Hemoglobin A1C shows a suspicious Hgb not previously identified or if HBA2 is >3.4%, which is suspicious of beta-thalassemia, a Hemoglobin/Thalassemia Evaluation will be performed (cpt: 83020/85660/83021).  You have the option to decline reflex testing if you believe it is not medically necessary. If we are not able to assay using the Hemoglobin A1C test methodology due to the presence of an abnormal hemoglobin in the patient sample, the test will be credited with the following reason:  "A1c unreportable.  Abnormal hemoglobin present.  Measurement of serum fructosamine may be helpful to monitor glycemic control."

Specimen Requirements

Specimen Type: Whole blood

Container/Tube: Lavender top (EDTA)

Specimen Volume: Full tube

Specimen Minimum Volume: 1 mL

Collection Instructions: Send specimen in original tube.

Stability

7 days Refrigerated

Reference Range

4.0-5.6 %

New test method effective 1-30-24.  Establishment of new HA1c baseline is recommended.

The following A1c interpretive data reflect the 2017 American Diabetes Association (ADA) guidelines and will be reported with each A1c result:

Normal: <5.7%
Prediabetes: 5.7 - 6.4%
Diagnostic for diabetes (if confirmed): ≥6.5%

Instrumentation

Sebia Capillarys 3 OCTA

Methodology

Capillary electrophoresis

Test Schedule/Analytical Time/ Test Priority

Monday – Friday  / Not available STAT

CPT (s)

83036