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Urinalysis with Microscopic Examination for Red Blood Cells (RBCs) and White Blood Cells (WBCs) in Urine

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

This test involves examining a urine sample under a microscope to check for the presence of red blood cells (RBCs) and white blood cells (WBCs). These cells can indicate different health conditions.

Quick summary

["Spotting cells in urine may signal infections, bleeding, or other health concerns."]

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

Key facts at a glance

LOINC
91806-0
Short code
MuV RNA Upper resp Ql NAA+probe
Synonyms
MuV RNA Upper resp Ql NAA+probe
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
probe-amp-tar
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Doctors may order this test to diagnose or monitor conditions such as urinary tract infections (UTIs), kidney problems, bladder issues, or other infections or inflammations in the urinary system. It can also help identify bleeding in the urinary tract or detect early signs of certain diseases.

What to Expect Before the Test

No special preparation is needed for this test. You may be asked to provide a clean-catch midstream urine sample, which involves urinating into a sterile container. If you’re unsure about the procedure, ask your healthcare provider.

What Happens During the Test

The urine sample is sent to a lab, where it is examined under a microscope. The lab technician looks for the presence of RBCs and WBCs. The results help determine if there are abnormal levels of these cells, which can indicate underlying health issues.

Possible Results and Their Meaning

If RBCs are present, it may suggest bleeding in the urinary tract, kidney disease, or other conditions. Elevated WBCs often point to infections, such as a UTI. The exact meaning depends on the context of your symptoms and medical history.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

High levels of RBCs in urine can indicate conditions like kidney stones, tumors, or trauma to the urinary tract. WBCs in urine are commonly associated with urinary tract infections, interstitial cystitis, or other inflammatory processes. Together, these findings help guide further medical evaluation and treatment.

Short name

Microscopic Urine Exam (RBC/WBC)

Frequently asked questions

What does it mean if I have red blood cells in my urine?
Red blood cells in urine can be caused by infections, kidney or bladder issues, trauma, or other conditions. Your doctor will consider your symptoms, medical history, and other test results to determine the cause.
Will I need to take any medications if my test results show abnormal cells?
If abnormal cells are found, your doctor may recommend treatments such as antibiotics (for infections), lifestyle changes, or further testing. Follow their advice closely and complete any prescribed treatments.
Can I drink water before this test?
Yes, you can drink water as needed before the test unless instructed otherwise by your healthcare provider. Drinking water helps dilute urine and may make it easier to detect abnormalities.
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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