Skip to content

Red Blood Cell (RBC) Morphology Profile (Qualitative Analysis of Macrocytes, Microcytes, and Other RBC Shapes)

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

This test examines the shape and size of your red blood cells (RBCs) to check for abnormalities like unusually large (macrocytes) or small (microcytes) cells, which can indicate certain blood disorders.

Quick summary

["Abnormal RBC shapes may signal underlying health concerns that need further evaluation."]

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

Key facts at a glance

LOINC
53970-0
Short code
Macrocytes UrnS Ql Micro
Synonyms
Macrocytes UrnS Ql Micro
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
microscopy-light
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 Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like fatigue, pale skin, unusual bruising, or if they suspect conditions such as anemia, iron deficiency, or other blood disorders. It can also be part of a routine blood check or when monitoring treatment for certain conditions.

What to Expect During the Test

This test involves a simple blood draw from a vein in your arm. The blood sample is then analyzed under a microscope to observe the shapes and sizes of your red blood cells. No special preparation is needed, but fasting may be advised depending on your provider’s instructions.

What the Results Mean

The results will identify if you have macrocytes (larger than normal RBCs), microcytes (smaller than normal RBCs), or other abnormal shapes. These findings can help diagnose conditions like vitamin deficiencies, liver disease, or inherited blood disorders.

Common Conditions Linked to Abnormal RBC Shapes

Macrocytes are often linked to vitamin B12 or folate deficiencies, alcohol use, or certain medications. Microcytes may suggest iron deficiency anemia or thalassemia. Other RBC abnormalities can point to conditions like hemolytic anemia or myelodysplastic syndromes.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

RBC Morphology Screen

Frequently asked questions

What causes macrocytes and microcytes to appear in blood tests?
Macrocytes and microcytes can result from deficiencies in essential nutrients like vitamin B12, folate, or iron. They may also be linked to liver disease, certain medications, or inherited blood disorders. Your healthcare provider will discuss potential causes based on your symptoms and test results.
How long does it take to get the results of this test?
Results from this qualitative test are typically available within a few days to a week, depending on your lab’s processing time. Your provider will contact you once the results are ready, usually through a follow-up appointment or a lab report.
Can lifestyle changes help improve RBC morphology?
Yes, lifestyle changes can sometimes improve RBC morphology. For example, addressing vitamin deficiencies through diet (e.g., more leafy greens for folate, lean meats for iron) or supplements may help. Avoiding alcohol and managing chronic conditions like liver disease can also support healthier RBCs. Always follow your provider’s advice.
  1. 1
  2. 2
  3. 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.

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