Cellular Morphology Examination (Blood Smear Evaluation)
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.
["A blood smear helps identify potential blood disorders or infections by looking at cell health and structure."]
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
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?
How Often Should I Get a Blood Smear?
Can I Prepare for a Blood Smear Test?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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