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Labs/Pregnancy Test
Clinical Test & Procedure Reference

Pregnancy Test

A pregnancy test can tell whether you're pregnant by checking a sample of your urine (pee) or blood for a hormone called human chorionic gonadotropin (hCG).

A pregnancy test can tell whether you're pregnant by checking a sample of your urine (pee) or blood for a hormone called human chorionic gonadotropin (hCG). This hormone is made by the placenta, the organ that grows in your uterus to provide oxygen and nutrients to the fetus. The placenta starts making hCG after a fertilized egg attaches to the inside wall of your uterus. Levels then continue to rise for ten weeks, almost doubling every three days. hCG helps your body prepare for pregnancy by: Telling your body to produce progesterone, which thickens the lining of your uterus. Telling your body to produce estrogen, which prepares your body for labor and helps your fetus develop. Stopping your menstrual periods . There are two types of pregnancy tests: Urine tests , which can be done at your health care provider's office or with an at-home test kit. These tests are 97-99% accurate when done a week or two after you've missed your period and can give you the results quickly. If you do an at-home test, follow the instructions carefully. Blood tests , which are always done in your provider's office or a lab. These tests can find very small amounts of hCG and show whether you're pregnant before you've missed your period. However, they aren't commonly used to check for pregnancy. That's because urine tests are less expensive, very accurate, and provide quicker results than blood tests, which may take hours to more than a day. Other names: human chorionic gonadotropin test, HCG test, qualitative hCG blood test, quantitative hCG blood test, Beta-hCG urine test, total chorionic gonadotropin, hCG total OB, chorionic gonadotropin

Why is this test ordered? You may need this test if you think you're pregnant. Symptoms of pregnancy vary, but the most common sign of early pregnancy is a missed period. Other common signs of early pregnancy may include: Swollen, tender breasts Fatigue Frequent need to urinate (pee) Nausea and vomiting (also called morning sickness) Feeling bloated or swollen in your abdomen (belly) or body You may also need a pregnancy test to make sure you are not pregnant if you need to have medical treatment that could harm a fetus. Lastly, you may need a quantitative blood test if you: Are at high risk for a miscarriage. The most common risk factors include active infections, thyroid disease , uncontrolled diabetes , obesity , and uterus or cervix problems. Have symptoms of an ectopic pregnancy. These can include abnormal vaginal bleeding, pain in your lower back and/or abdomen, and cramping on one side of the pelvis. Have symptoms of a molar pregnancy. These can include abnormal vaginal bleeding , pain in your abdominal or pelvic area, high blood pressure , and severe nausea.

Clinical Interpretation

Your results will show whether you're pregnant. A negative result means hCG wasn't found in your sample, so you may not be pregnant. However, this isn't always the case. If you did a home urine test too soon after getting pregnant, your body may not have made enough hCG to show up in the results. This is called a false-negative. A false negative result means your test shows that you aren't pregnant, but you really are. Because hCG levels increase every day during early pregnancy, it's a good idea to repeat the test a week after you took it the first time. If you get negative (not pregnant) results on two home tests, but you still think you're pregnant, call your provider. A positive result means that hCG was found in your sample. That usually means that you're pregnant. It's important to see your provider as soon as possible to make sure you get the right care . If you did a home test, your provider may do another test to confirm your pregnancy. In some cases, a home test may say that you're pregnant when you aren't. This is called a false-positive. A false-positive result means your test shows that you are pregnant, but you really aren't. Taking a pregnancy test while also taking fertility medicines could lead to a false-positive test result. If your results are positive but you think you might not be pregnant, talk to your provider. Learn more about laboratory tests, reference ranges, and understanding results .

Related ICD-10 Codes

C38.1Malignant neoplasm of anterior mediastinumMedicare medical-necessity (NCD 190.27)C38.2Malignant neoplasm of posterior mediastinumMedicare medical-necessity (NCD 190.27)C38.3Malignant neoplasm of mediastinum, part unspecifiedMedicare medical-necessity (NCD 190.27)C38.8Malignant neoplasm of overlapping sites of heart, mediastinum and pleuraMedicare medical-necessity (NCD 190.27)C45.1Mesothelioma of peritoneumMedicare medical-necessity (NCD 190.27)C48.0Malignant neoplasm of retroperitoneumMedicare medical-necessity (NCD 190.27)C48.1Malignant neoplasm of specified parts of peritoneumMedicare medical-necessity (NCD 190.27)C48.8Malignant neoplasm of overlapping sites of retroperitoneum and peritoneumMedicare medical-necessity (NCD 190.27)C56.1Malignant neoplasm of right ovaryMedicare medical-necessity (NCD 190.27)C56.2Malignant neoplasm of left ovaryMedicare medical-necessity (NCD 190.27)C56.3Malignant neoplasm of bilateral ovariesMedicare medical-necessity (NCD 190.27)C56.9Malignant neoplasm of unspecified ovaryMedicare medical-necessity (NCD 190.27)C57.4Malignant neoplasm of uterine adnexa, unspecifiedMedicare medical-necessity (NCD 190.27)C58Malignant neoplasm of placentaMedicare medical-necessity (NCD 190.27)C62.00Malignant neoplasm of unspecified undescended testisMedicare medical-necessity (NCD 190.27)C62.01Malignant neoplasm of undescended right testisMedicare medical-necessity (NCD 190.27)C62.02Malignant neoplasm of undescended left testisMedicare medical-necessity (NCD 190.27)C62.10Malignant neoplasm of unspecified descended testisMedicare medical-necessity (NCD 190.27)C62.11Malignant neoplasm of descended right testisMedicare medical-necessity (NCD 190.27)C62.12Malignant neoplasm of descended left testisMedicare medical-necessity (NCD 190.27)C62.90Malignant neoplasm of unspecified testis, unspecified whether descended or undescendedMedicare medical-necessity (NCD 190.27)C62.91Malignant neoplasm of right testis, unspecified whether descended or undescendedMedicare medical-necessity (NCD 190.27)C62.92Malignant neoplasm of left testis, unspecified whether descended or undescendedMedicare medical-necessity (NCD 190.27)C75.3Malignant neoplasm of pineal glandMedicare medical-necessity (NCD 190.27)C78.1Secondary malignant neoplasm of mediastinumMedicare medical-necessity (NCD 190.27)C78.6Secondary malignant neoplasm of retroperitoneum and peritoneumMedicare medical-necessity (NCD 190.27)C79.60Secondary malignant neoplasm of unspecified ovaryMedicare medical-necessity (NCD 190.27)C79.61Secondary malignant neoplasm of right ovaryMedicare medical-necessity (NCD 190.27)C79.62Secondary malignant neoplasm of left ovaryMedicare medical-necessity (NCD 190.27)C79.63Secondary malignant neoplasm of bilateral ovariesMedicare medical-necessity (NCD 190.27)C79.82Secondary malignant neoplasm of genital organsMedicare medical-necessity (NCD 190.27)D39.2Neoplasm of uncertain behavior of placentaMedicare medical-necessity (NCD 190.27)D49.59Neoplasm of unspecified behavior of other genitourinary organMedicare medical-necessity (NCD 190.27)G89.3Neoplasm related pain (acute) (chronic)Medicare medical-necessity (NCD 190.27)J98.59Other diseases of mediastinum, not elsewhere classifiedMedicare medical-necessity (NCD 190.27)N89.8Other specified noninflammatory disorders of vaginaMedicare medical-necessity (NCD 190.27)N94.89Other specified conditions associated with female genital organs and menstrual cycleMedicare medical-necessity (NCD 190.27)N99.116Postprocedural urethral stricture, male, overlapping sitesMedicare medical-necessity (NCD 190.27)O00.00Abdominal pregnancy without intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.01Abdominal pregnancy with intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.101Right tubal pregnancy without intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.102Left tubal pregnancy without intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.109Unspecified tubal pregnancy without intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.111Right tubal pregnancy with intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.112Left tubal pregnancy with intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.119Unspecified tubal pregnancy with intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.201Right ovarian pregnancy without intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.202Left ovarian pregnancy without intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.209Unspecified ovarian pregnancy without intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.211Right ovarian pregnancy with intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.212Left ovarian pregnancy with intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.219Unspecified ovarian pregnancy with intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.80Other ectopic pregnancy without intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.81Other ectopic pregnancy with intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.90Unspecified ectopic pregnancy without intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O00.91Unspecified ectopic pregnancy with intrauterine pregnancyMedicare medical-necessity (NCD 190.27)O01.0Classical hydatidiform moleMedicare medical-necessity (NCD 190.27)O01.1Incomplete and partial hydatidiform moleMedicare medical-necessity (NCD 190.27)O01.9Hydatidiform mole, unspecifiedMedicare medical-necessity (NCD 190.27)O02.0Blighted ovum and nonhydatidiform moleMedicare medical-necessity (NCD 190.27)O02.1Missed abortionMedicare medical-necessity (NCD 190.27)O02.81Inappropriate change in quantitative human chorionic gonadotropin (hCG) in early pregnancyMedicare medical-necessity (NCD 190.27)O02.89Other abnormal products of conceptionMedicare medical-necessity (NCD 190.27)O02.9Abnormal product of conception, unspecifiedMedicare medical-necessity (NCD 190.27)O03.0Genital tract and pelvic infection following incomplete spontaneous abortionMedicare medical-necessity (NCD 190.27)O03.37Sepsis following incomplete spontaneous abortionMedicare medical-necessity (NCD 190.27)O03.5Genital tract and pelvic infection following complete or unspecified spontaneous abortionMedicare medical-necessity (NCD 190.27)O03.87Sepsis following complete or unspecified spontaneous abortionMedicare medical-necessity (NCD 190.27)O09.A0Supervision of pregnancy with history of molar pregnancy, unspecified trimesterMedicare medical-necessity (NCD 190.27)O09.A1Supervision of pregnancy with history of molar pregnancy, first trimesterMedicare medical-necessity (NCD 190.27)O09.A2Supervision of pregnancy with history of molar pregnancy, second trimesterMedicare medical-necessity (NCD 190.27)O09.A3Supervision of pregnancy with history of molar pregnancy, third trimesterMedicare medical-necessity (NCD 190.27)O11.1Pre-existing hypertension with pre-eclampsia, first trimesterMedicare medical-necessity (NCD 190.27)O11.2Pre-existing hypertension with pre-eclampsia, second trimesterMedicare medical-necessity (NCD 190.27)O11.3Pre-existing hypertension with pre-eclampsia, third trimesterMedicare medical-necessity (NCD 190.27)O11.4Pre-existing hypertension with pre-eclampsia, complicating childbirthMedicare medical-necessity (NCD 190.27)O11.5Pre-existing hypertension with pre-eclampsia, complicating the puerperiumMedicare medical-necessity (NCD 190.27)O11.9Pre-existing hypertension with pre-eclampsia, unspecified trimesterMedicare medical-necessity (NCD 190.27)O12.04Gestational edema, complicating childbirthMedicare medical-necessity (NCD 190.27)O12.05Gestational edema, complicating the puerperiumMedicare medical-necessity (NCD 190.27)O12.14Gestational proteinuria, complicating childbirthMedicare medical-necessity (NCD 190.27)O12.15Gestational proteinuria, complicating the puerperiumMedicare medical-necessity (NCD 190.27)O12.24Gestational edema with proteinuria, complicating childbirthMedicare medical-necessity (NCD 190.27)O12.25Gestational edema with proteinuria, complicating the puerperiumMedicare medical-necessity (NCD 190.27)O13.1Gestational [pregnancy-induced] hypertension without significant proteinuria, first trimesterMedicare medical-necessity (NCD 190.27)O13.2Gestational [pregnancy-induced] hypertension without significant proteinuria, second trimesterMedicare medical-necessity (NCD 190.27)O13.3Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimesterMedicare medical-necessity (NCD 190.27)O13.4Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating childbirthMedicare medical-necessity (NCD 190.27)O13.5Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating the puerperiumMedicare medical-necessity (NCD 190.27)O13.9Gestational [pregnancy-induced] hypertension without significant proteinuria, unspecified trimesterMedicare medical-necessity (NCD 190.27)O14.00Mild to moderate pre-eclampsia, unspecified trimesterMedicare medical-necessity (NCD 190.27)O14.02Mild to moderate pre-eclampsia, second trimesterMedicare medical-necessity (NCD 190.27)O14.03Mild to moderate pre-eclampsia, third trimesterMedicare medical-necessity (NCD 190.27)O14.04Mild to moderate pre-eclampsia, complicating childbirthMedicare medical-necessity (NCD 190.27)O14.05Mild to moderate pre-eclampsia, complicating the puerperiumMedicare medical-necessity (NCD 190.27)O14.10Severe pre-eclampsia, unspecified trimesterMedicare medical-necessity (NCD 190.27)O14.12Severe pre-eclampsia, second trimesterMedicare medical-necessity (NCD 190.27)O14.13Severe pre-eclampsia, third trimesterMedicare medical-necessity (NCD 190.27)O14.14Severe pre-eclampsia complicating childbirthMedicare medical-necessity (NCD 190.27)O14.15Severe pre-eclampsia, complicating the puerperiumMedicare medical-necessity (NCD 190.27)O14.20HELLP syndrome (HELLP), unspecified trimesterMedicare medical-necessity (NCD 190.27)O14.22HELLP syndrome (HELLP), second trimesterMedicare medical-necessity (NCD 190.27)O14.23HELLP syndrome (HELLP), third trimesterMedicare medical-necessity (NCD 190.27)O14.24HELLP syndrome, complicating childbirthMedicare medical-necessity (NCD 190.27)O14.25HELLP syndrome, complicating the puerperiumMedicare medical-necessity (NCD 190.27)O14.90Unspecified pre-eclampsia, unspecified trimesterMedicare medical-necessity (NCD 190.27)O14.92Unspecified pre-eclampsia, second trimesterMedicare medical-necessity (NCD 190.27)O14.93Unspecified pre-eclampsia, third trimesterMedicare medical-necessity (NCD 190.27)O14.94Unspecified pre-eclampsia, complicating childbirthMedicare medical-necessity (NCD 190.27)O14.95Unspecified pre-eclampsia, complicating the puerperiumMedicare medical-necessity (NCD 190.27)O15.00Eclampsia complicating pregnancy, unspecified trimesterMedicare medical-necessity (NCD 190.27)O15.02Eclampsia complicating pregnancy, second trimesterMedicare medical-necessity (NCD 190.27)O15.03Eclampsia complicating pregnancy, third trimesterMedicare medical-necessity (NCD 190.27)O15.1Eclampsia complicating laborMedicare medical-necessity (NCD 190.27)O15.2Eclampsia complicating the puerperiumMedicare medical-necessity (NCD 190.27)O15.9Eclampsia, unspecified as to time periodMedicare medical-necessity (NCD 190.27)O16.1Unspecified maternal hypertension, first trimesterMedicare medical-necessity (NCD 190.27)O16.2Unspecified maternal hypertension, second trimesterMedicare medical-necessity (NCD 190.27)O16.3Unspecified maternal hypertension, third trimesterMedicare medical-necessity (NCD 190.27)O16.4Unspecified maternal hypertension, complicating childbirthMedicare medical-necessity (NCD 190.27)O16.5Unspecified maternal hypertension, complicating the puerperiumMedicare medical-necessity (NCD 190.27)O16.9Unspecified maternal hypertension, unspecified trimesterMedicare medical-necessity (NCD 190.27)O20.0Threatened abortionMedicare medical-necessity (NCD 190.27)O24.415Gestational diabetes mellitus in pregnancy, controlled by oral hypoglycemic drugsMedicare medical-necessity (NCD 190.27)O24.425Gestational diabetes mellitus in childbirth, controlled by oral hypoglycemic drugsMedicare medical-necessity (NCD 190.27)O24.435Gestational diabetes mellitus in puerperium, controlled by oral hypoglycemic drugsMedicare medical-necessity (NCD 190.27)O44.20Partial placenta previa NOS or without hemorrhage, unspecified trimesterMedicare medical-necessity (NCD 190.27)O44.21Partial placenta previa NOS or without hemorrhage, first trimesterMedicare medical-necessity (NCD 190.27)O44.22Partial placenta previa NOS or without hemorrhage, second trimesterMedicare medical-necessity (NCD 190.27)O44.23Partial placenta previa NOS or without hemorrhage, third trimesterMedicare medical-necessity (NCD 190.27)O44.30Partial placenta previa with hemorrhage, unspecified trimesterMedicare medical-necessity (NCD 190.27)O44.31Partial placenta previa with hemorrhage, first trimesterMedicare medical-necessity (NCD 190.27)O44.32Partial placenta previa with hemorrhage, second trimesterMedicare medical-necessity (NCD 190.27)O44.33Partial placenta previa with hemorrhage, third trimesterMedicare medical-necessity (NCD 190.27)O44.40Low lying placenta NOS or without hemorrhage, unspecified trimesterMedicare medical-necessity (NCD 190.27)O44.41Low lying placenta NOS or without hemorrhage, first trimesterMedicare medical-necessity (NCD 190.27)O44.42Low lying placenta NOS or without hemorrhage, second trimesterMedicare medical-necessity (NCD 190.27)O44.43Low lying placenta NOS or without hemorrhage, third trimesterMedicare medical-necessity (NCD 190.27)O44.50Low lying placenta with hemorrhage, unspecified trimesterMedicare medical-necessity (NCD 190.27)O44.51Low lying placenta with hemorrhage, first trimesterMedicare medical-necessity (NCD 190.27)O44.52Low lying placenta with hemorrhage, second trimesterMedicare medical-necessity (NCD 190.27)O44.53Low lying placenta with hemorrhage, third trimesterMedicare medical-necessity (NCD 190.27)Q53.13Unilateral high scrotal testisMedicare medical-necessity (NCD 190.27)Q53.23Bilateral high scrotal testesMedicare medical-necessity (NCD 190.27)R10.20Pelvic and perineal pain unspecified sideMedicare medical-necessity (NCD 190.27)R10.21Pelvic and perineal pain right sideMedicare medical-necessity (NCD 190.27)R10.22Pelvic and perineal pain left sideMedicare medical-necessity (NCD 190.27)R10.23Pelvic and perineal pain bilateralMedicare medical-necessity (NCD 190.27)R10.24Suprapubic painMedicare medical-necessity (NCD 190.27)R39.83Unilateral non-palpable testicleMedicare medical-necessity (NCD 190.27)R39.84Bilateral non-palpable testiclesMedicare medical-necessity (NCD 190.27)R93.49Abnormal radiologic findings on diagnostic imaging of other urinary organsMedicare medical-necessity (NCD 190.27)R97.8Other abnormal tumor markersMedicare medical-necessity (NCD 190.27)Z31.7Encounter for procreative management and counseling for gestational carrierMedicare medical-necessity (NCD 190.27)Z34.00Encounter for supervision of normal first pregnancy, unspecified trimesterMedicare medical-necessity (NCD 190.27)Z34.01Encounter for supervision of normal first pregnancy, first trimesterMedicare medical-necessity (NCD 190.27)Z34.02Encounter for supervision of normal first pregnancy, second trimesterMedicare medical-necessity (NCD 190.27)Z34.03Encounter for supervision of normal first pregnancy, third trimesterMedicare medical-necessity (NCD 190.27)Z34.80Encounter for supervision of other normal pregnancy, unspecified trimesterMedicare medical-necessity (NCD 190.27)Z34.81Encounter for supervision of other normal pregnancy, first trimesterMedicare medical-necessity (NCD 190.27)Z34.82Encounter for supervision of other normal pregnancy, second trimesterMedicare medical-necessity (NCD 190.27)Z34.83Encounter for supervision of other normal pregnancy, third trimesterMedicare medical-necessity (NCD 190.27)Z34.90Encounter for supervision of normal pregnancy, unspecified, unspecified trimesterMedicare medical-necessity (NCD 190.27)Z34.91Encounter for supervision of normal pregnancy, unspecified, first trimesterMedicare medical-necessity (NCD 190.27)Z34.92Encounter for supervision of normal pregnancy, unspecified, second trimesterMedicare medical-necessity (NCD 190.27)Z34.93Encounter for supervision of normal pregnancy, unspecified, third trimesterMedicare medical-necessity (NCD 190.27)Z83.438Family history of other disorder of lipoprotein metabolism and other lipidemiaMedicare medical-necessity (NCD 190.27)Z84.82Family history of sudden infant death syndromeMedicare medical-necessity (NCD 190.27)Z85.068Personal history of other malignant neoplasm of small intestineMedicare medical-necessity (NCD 190.27)Z85.07Personal history of malignant neoplasm of pancreasMedicare medical-necessity (NCD 190.27)Z85.09Personal history of malignant neoplasm of other digestive organsMedicare medical-necessity (NCD 190.27)Z85.238Personal history of other malignant neoplasm of thymusMedicare medical-necessity (NCD 190.27)Z85.29Personal history of malignant neoplasm of other respiratory and intrathoracic organsMedicare medical-necessity (NCD 190.27)Z85.43Personal history of malignant neoplasm of ovaryMedicare medical-necessity (NCD 190.27)Z85.47Personal history of malignant neoplasm of testisMedicare medical-necessity (NCD 190.27)Z85.4APersonal history of malignant neoplasm of fallopian tube(s)Medicare medical-necessity (NCD 190.27)Z86.002Personal history of in-situ neoplasm of other and unspecified genital organsMedicare medical-necessity (NCD 190.27)Z86.00APersonal history of in-situ neoplasm of the fallopian tube(s)Medicare medical-necessity (NCD 190.27)

Clinical Protocol & Patient Advice

  • 1

    If you're doing a urine test, don't drink large amounts of fluid before collecting your sample. That could dilute the hCG in your urine, and it may not show up on the test. Taking medicine to help you get pregnant (fertility drugs) could affect your pregnancy test results. If you are taking fertility drugs , talk to your provider if you get a positive result. Your provider may need to verify it. Otherwise, you don't need any special preparations for a pregnancy test that uses a sample of your urine or blood.

Usage Guidance

  • Reference ranges vary by laboratory. Always discuss your specific results with a qualified healthcare professional.

Source: MedlinePlus, National Library of Medicine. View the original.