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Red Blood Cell Clumping Area Measurement (Urine)

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

This test measures how much red blood cells clump together in your urine, which can help identify conditions affecting blood flow or kidney function.

Quick summary

["Clumping in urine may signal urinary tract issues or blood disorders."]

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

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

Specimen: urine

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?
Clumping can occur due to urinary tract infections, kidney stones, trauma to the urinary system, or certain medications. It may also be a normal variation in some individuals, especially after exercise or dehydration.
How long does it take to get results?
Results are typically available within a few hours to a couple of days, depending on lab processing times. Follow-up with your provider if you have concerns about your results.
Can diet or hydration affect this test?
Yes, dehydration or strenuous activity may increase red blood cell clumping temporarily. Avoiding excessive exercise or hydration changes for 24 hours before testing can help provide clearer results.
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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