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Red Blood Cell Clumping Area Measurement (Urinalysis)

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

This test measures the presence and extent of abnormal clumping in red blood cells found in your urine. Clumping can sometimes indicate underlying health conditions.

Quick summary

["Clumping in urine red blood cells may signal infection, inflammation, or other issues—your provider will discuss results with you."]

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

Key facts at a glance

LOINC
49505-1
Short code
RBC clumps #/area UrnS Auto
Synonyms
RBC clumps #/area UrnS Auto
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
automated-count
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

Why This Test Is Done

Your healthcare provider may order this test to check for conditions like urinary tract infections, kidney problems, or blood disorders. It helps identify whether red blood cells in your urine are clumping abnormally, which can be a sign of bleeding or inflammation.

What to Expect Before the Test

No special preparation is needed. You’ll provide a urine sample, typically collected in a clean container. If you’re using a catheter or have a urinary catheter, your provider may guide you on proper collection.

What the Results Mean

Clumping in red blood cells can appear due to natural processes, medications, or conditions like kidney stones, infections, or hematuria (blood in urine). Your provider will review the pattern and severity alongside other symptoms or test results to determine next steps.

Common Causes of Clumping

Possible causes include urinary tract infections, kidney stones, bladder inflammation, or certain medications. Rarely, it may relate to blood disorders or clotting issues. Always discuss symptoms 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.

Clumping in red blood cells on urinalysis can signal conditions like urinary tract infections, kidney disease, or bleeding disorders. Early detection helps guide treatment, such as antibiotics or lifestyle changes. Persistent clumping may require further testing or imaging.

Short name

Red Blood Cell Clumping in Urine

Frequently asked questions

What does a positive clumping result mean?
A positive result means red blood cells in your urine are clumping abnormally. This can be normal in some cases, but it often warrants further investigation to rule out infections, stones, or other issues.
Will I need to avoid certain foods or drinks before this test?
No special diet or fluid restrictions are typically required. However, if you’re using a catheter, follow your provider’s instructions to prevent contamination.
Can clumping in urine red blood cells be treated at home?
Some causes, like mild infections, may be treated with over-the-counter pain relievers or increased hydration. However, persistent clumping or symptoms like pain, fever, or frequent urination should prompt a doctor’s visit for proper evaluation.
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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