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Urinary free hemoglobin mass concentration

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of free hemoglobin (a protein in red blood cells) that appears in your urine, separate from other blood components. It helps detect conditions where red blood cells break down or leak into urine.

Quick summary

["Assesses hidden blood loss or hemolysis in your body."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
4636-7
Short code
Hgb Free Ur-mCnc
Synonyms
Hgb Free Ur-mCnc
Category
hematology
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
12
Ref high
17.5
Critical range
7 N/A – 20 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85018
SNOMED
900000000000003004
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your healthcare provider may order this test if you have symptoms like dark urine, fatigue, or signs of anemia. It can also be used to monitor conditions such as hemolytic anemia, blood disorders, or kidney issues where hemoglobin might appear in urine unexpectedly.

What to Expect Before the Test

No special preparation is needed. You’ll provide a urine sample, typically collected in the morning. Avoid strenuous activity or certain medications (like NSAIDs) that might affect results, but always follow your provider’s instructions.

How the Test Works

The test measures hemoglobin’s mass in your urine using a specialized laboratory method. Free hemoglobin can indicate red blood cell breakdown or abnormal leakage into urine, which isn’t detected by standard urine tests.

Possible Results and Interpretation

Results are compared to a reference range for your age and health status. Elevated levels may suggest conditions like hemolysis, blood disorders, or kidney problems. Low or normal levels don’t rule out these conditions, so results should be reviewed by your provider.

Reference range

Adult males: 13.5-17.5 g/dL; Females: 12.0-16.0 g/dLN/A

Specimen: urine

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Free Hemoglobin in Urine

Frequently asked questions

What does a high result mean?
A high urinary free hemoglobin level may signal hidden blood loss, such as from hemolytic anemia (where red blood cells break down faster than the body can replace them), certain blood disorders, or kidney issues. It can also appear after trauma or certain medications.
What does a low result mean?
A low or normal result doesn’t definitively rule out conditions like hemolysis or blood disorders. It may mean your body is efficiently filtering hemoglobin, but further testing or clinical evaluation is needed to assess your overall health.
How often should I get this test?
Your provider will determine the frequency based on your symptoms, medical history, and ongoing health needs. Regular monitoring may be recommended if you have a known condition affecting red blood cells or kidneys.
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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 16, 2026. · Read our editorial policy