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Urine Microscopic Examination (Microscopic Urinalysis)

Published: August 9, 2026Updated: August 17, 2026

This test examines your urine under a microscope to check for cells, bacteria, crystals, or other substances that may indicate infection, disease, or other health concerns.

Quick summary

["Microscopic urine analysis helps detect hidden problems in your kidneys, urinary tract, or overall health."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
53968-4
Short code
Non-dys RBC UrnS Ql Micro
Synonyms
Non-dys RBC UrnS Ql Micro
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
4.2
Ref high
5.9
Critical range
2 N/A – 7 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
microscopy-light
CPT
85041
SNOMED
900000000000003001
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

What Does the Test Measure?

The test looks for various components in your urine, including red blood cells (hematuria), white blood cells (infection), casts (kidney damage), crystals (urinary stones), bacteria, or other abnormal particles. These findings can signal conditions like urinary tract infections, kidney disease, or bladder issues.

Why Might You Need This Test?

Your healthcare provider may order this test if you have symptoms like frequent urination, pain during urination, blood in urine, cloudy urine, or unexplained weight changes. It’s also used during routine check-ups or to monitor chronic conditions like diabetes or kidney disease.

Sample Collection and Preparation

You’ll collect a midstream urine sample (clean-catch) or a first-morning urine sample. The sample is then examined under a microscope by a lab technician to identify any abnormal substances.

Possible Findings and Their Implications

Findings like white blood cells may indicate a urinary tract infection, while red blood cells could signal kidney damage or stones. Crystals or casts may suggest kidney stones or glomerular disease. Always discuss any abnormal results with your provider.

Reference range

Adult males: 4.2-5.9; Females: 3.8-5.1 x 10^12/LN/A

Specimen: urine

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Microscopic urine analysis is a key diagnostic tool for identifying infections, structural abnormalities in the urinary tract, or early signs of kidney disease. It helps guide treatment plans, such as antibiotics for infections or lifestyle changes for stones.

Short name

Urine Microscopy

Frequently asked questions

How long does it take to get results?
Results are typically available within 1 to 2 business days, depending on lab processing times.
What does it mean if I have bacteria or white blood cells in my urine?
Presence of bacteria or white blood cells often signals a urinary tract infection (UTI). Your provider may recommend antibiotics or other treatments based on the severity and specific findings.
Can I drink water before the test?
Yes, you can drink water as needed, but avoid excessive hydration right before the test, as it may dilute the urine and affect microscopic analysis. Follow your provider’s specific instructions.
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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 17, 2026. · Read our editorial policy