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Chloriderbcscnc

Published: July 31, 2026Updated: August 10, 2026

This test measures the amount of chloride inside your red blood cells to help evaluate your electrolyte balance and acid-base status.

Quick summary

{"Measures chloride levels inside red blood cells","Helps assess electrolyte and acid-base balance","Used to diagnose conditions affecting chloride metabolism","Collected via a routine blood draw","Abnormal results may indicate kidney, lung, or metabolic disorders"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 10, 2026Editorial policy

Key facts at a glance

LOINC
2073-5
Short code
CL-RBC
Synonyms
Chloride RBC-sCnc
Category
electrolyte
Sample
whole-blood
Container
Lavender-top (EDTA) tube or green-top (heparin) tube for whole blood collection
Units
not specified
Ref low
45
Ref high
60
Critical range
50 not specified – 130 not specified
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
Ion-selective electrode (ISE) measurement following red blood cell hemolysis
CPT
82436
SNOMED
271436006
Specimen volume
2-3 mL of whole blood
Stability
Process specimen within 2-4 hours of collection. If delay expected, separate plasma/serum within 1 hour and freeze at -20°C. Avoid repeated freeze-thaw cycles.
Hemolysis max
50
Lipemia max
100
Icterus max
20
TAT
24–72 hours
Order
routine

What is this test?

The Red Blood Cell Chloride test measures the concentration of chloride, an important electrolyte, inside your red blood cells. Chloride is a negatively charged ion that plays a crucial role in maintaining the body's fluid balance, acid-base equilibrium, and electrical neutrality. Unlike serum chloride which measures chloride in the liquid part of blood, this test specifically evaluates chloride within the cells themselves, providing more detailed information about cellular electrolyte status.

During the test, a healthcare professional will draw a small sample of blood from a vein in your arm. The sample is then sent to a laboratory where specialized equipment measures the chloride content inside the red blood cells. The results are typically expressed as millimoles per liter (mmol/L) of packed red blood cells.

Reference range

45-60 mmol/Lnot specified

Specimen: whole-blood

No special preparation required; collect in heparinized tube and prepare packed RBCs promptly

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

The red blood cell chloride test provides valuable information about electrolyte metabolism and cellular function. Abnormal levels may indicate various conditions including kidney disease, certain metabolic disorders, respiratory alkalosis, or conditions affecting chloride balance such as vomiting, diarrhea, or diuretic use. This test is often used in conjunction with other electrolyte measurements to get a complete picture of the body's mineral balance and acid-base status.

Frequently asked questions

Why is red blood cell chloride tested instead of just serum chloride?
While serum chloride measures chloride in the liquid portion of blood, red blood cell chloride provides information about intracellular chloride levels. This can be more reflective of long-term chloride balance and cellular health, offering additional diagnostic information that serum tests alone cannot provide.
Do I need to fast before this test?
Your healthcare provider will provide specific instructions. Generally, you may be asked to fast for 8-12 hours before the test. It's important to follow these instructions carefully to ensure accurate results.
What do high red blood cell chloride levels mean?
Elevated levels may indicate conditions such as respiratory alkalosis, certain kidney disorders, or metabolic acidosis. Your healthcare provider will interpret the results in context with your other test values and clinical symptoms.
What do low red blood cell chloride levels mean?
Low levels may be associated with conditions like metabolic alkalosis, chronic respiratory acidosis, or certain genetic disorders. Additional testing is usually needed to determine the underlying cause.
Is this test dangerous or painful?
The test involves a routine blood draw, which may cause brief discomfort or a small bruise at the puncture site. Serious complications are rare. The benefits of obtaining important diagnostic information generally outweigh the minimal risks of the procedure.
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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 10, 2026. · Read our editorial policy