Red Blood Cell Clumping Area Measurement (Urine)
This test measures how much red blood cells clump together in your urine, which can help identify conditions affecting blood flow or kidney function.
["Clumping in urine may signal urinary tract issues or blood disorders."]
Key facts at a glance
- LOINC
- 58449-0
- Short code
- RBC clumps #/area UrnS HPF
- Synonyms
- RBC clumps #/area UrnS HPF
- 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-hpf
- 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 if you have symptoms like blood in urine, frequent urination, pain during urination, or if you’re being evaluated for conditions like kidney disease, urinary tract infections, or blood disorders. It can also be part of a general health check or routine screening in certain cases.
What to Expect Before the Test
No special preparation is needed. You’ll likely provide a urine sample in a clean container at a lab or clinic. Avoid using urine preservatives or additives, as they may affect results.
How the Test Works
A technician will examine a sample of your urine under a microscope to measure the combined area of red blood cell clumps. This is a visual assessment rather than a blood count, focusing on clumping patterns rather than individual cell numbers.
Possible Results and Interpretation
Results are qualitative (descriptive) rather than numerical. Increased clumping may indicate conditions like hematuria (blood in urine), urinary tract infections, or kidney damage. Normal results suggest no significant clumping, but this alone doesn’t rule out all causes of blood in urine.
Reference range
Adult males: 4.2-5.9; Females: 3.8-5.1 x 10^12/LN/A
No special preparation required. Stay well hydrated.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Short name
Urine RBC Clumping Index
Frequently asked questions
What causes red blood cells to clump in urine?
How long does it take to get results?
Can diet or hydration affect this test?
Sources
- 1
- 2Lab Tests OnlineSource
- 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.
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