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Cellular Morphology Examination (Blood Smear Evaluation)

Published: August 9, 2026Updated: August 15, 2026

This test examines the microscopic appearance of red blood cells, white blood cells, and platelets in a drop of your blood to check for abnormalities in cell shape, size, or count.

Quick summary

["A blood smear helps identify potential blood disorders or infections by looking at cell health and structure."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
62368-6
Short code
CYC
Synonyms
—
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or EDTA tube depending on cell type analyzed; lavender-top (EDTA) tube preferred for whole blood cell cycle analysis
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
molgen
CPT
88182
SNOMED
252416005
Specimen volume
1-2 mL of serum or 3-5 mL of whole blood depending on analytical requirements
Stability
Whole blood specimens should be processed within 24 hours of collection at room temperature (18-25°C). Fixed cells stable for up to 7 days at 2-8°C
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
24–72 hours
Order
routine

What Is a Blood Smear Used For?

A blood smear is primarily used to diagnose conditions like anemia (low red blood cells), infections (such as malaria or certain bacterial infections), or blood disorders like leukemia or thrombocytopenia. It can also help detect signs of bleeding disorders or unusual cell shapes that may indicate genetic conditions or exposure to certain medications.

How Is the Test Performed?

A small amount of blood is drawn from your arm and spread thinly on a microscope slide. The sample is then stained to highlight different cell types. A healthcare provider examines the slide under a microscope to assess cell morphology.

Sample Preparation and Specimen Requirements

For this test, a simple blood draw is needed. No special preparation is required, but fasting may not be necessary unless instructed by your provider. If you’re taking blood thinners or have a history of clotting issues, your provider may adjust your care plan before testing.

Possible Results and Interpretation

Results are qualitative (descriptive) rather than numerical. Your provider will look for normal cell shapes (e.g., red blood cells with uniform size and color) or signs of abnormalities like fragmented red cells, unusually large or small white cells, or low platelet counts. Abnormal findings may prompt further testing.

Reference range

Reference ranges vary by cell type analyzed; results reported as percentage of cells in G0/G1, S, and G2/M phases of the cell cycleN/A

Specimen: serum

No special patient preparation required. Fasting is not necessary. Patients should inform their healthcare provider of any recent medications, chemotherapy, or radiation therapy that may affect cell cycle distribution

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Blood smear analysis

Frequently asked questions

What Does a Blood Smear Tell Me About My Health?
A blood smear can reveal whether your blood cells are functioning normally or if there are signs of infection, anemia, or other blood-related problems. It’s not a diagnostic test for every condition but often serves as a first step in identifying potential issues.
How Often Should I Get a Blood Smear?
Blood smears are typically ordered when other blood tests suggest abnormalities or when monitoring conditions like anemia, leukemia, or chronic diseases. Your healthcare provider will determine if this test is needed based on your medical history and symptoms.
Can I Prepare for a Blood Smear Test?
No special preparation is needed, but avoid strenuous activity or eating heavy meals right before the test. If you’re on blood-thinning medications, inform your provider beforehand to ensure safe testing.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 15, 2026. · Read our editorial policy