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Reticulocyte Hemoglobin Content (RHC) by Flow Cytometry (Serum/Plasma)

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

This test measures the amount of hemoglobin inside reticulocytes, immature red blood cells, which helps assess red blood cell production and health.

Quick summary

["Understanding your reticulocyte hemoglobin content can help diagnose anemia or other blood disorders."]

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

Key facts at a glance

LOINC
99871-6
Short code
RBCGhost # UrnS Comp Assist
Synonyms
RBCGhost # UrnS Comp Assist
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
computer-assisted
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 Is Reticulocyte Hemoglobin Content (RHC)?

Reticulocytes are young red blood cells that contain hemoglobin but are not yet fully mature. Measuring their hemoglobin content (RHC) provides insight into how efficiently your bone marrow is producing healthy red blood cells. This test is often used alongside other blood tests to evaluate anemia or blood loss.

Why Might You Need This Test?

Your healthcare provider may order an RHC test if you have symptoms like fatigue, pale skin, or shortness of breath, which could indicate anemia. It may also be used to monitor treatment for conditions like iron deficiency or blood disorders.

How Is the Test Performed?

A small blood sample is drawn from a vein, typically in your arm. The sample is then analyzed using flow cytometry, a technique that measures the hemoglobin content within reticulocytes. This process is quick and usually requires no special preparation.

What Do the Results Mean?

Results help determine whether your bone marrow is producing enough healthy red blood cells. Low RHC may suggest ineffective erythropoiesis (bone marrow not producing enough hemoglobin), while high RHC could indicate conditions like hemolytic anemia or overproduction of reticulocytes.

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.

RHC is particularly useful in diagnosing and managing certain types of anemia, such as thalassemia or sideroblastic anemia, where red blood cell production is impaired. It complements other tests like reticulocyte count and hemoglobin levels to provide a clearer picture of your blood health.

Short name

RHC

Frequently asked questions

What causes low reticulocyte hemoglobin content?
Low RHC can result from conditions where your bone marrow isn’t producing enough hemoglobin, such as iron deficiency, vitamin deficiencies (like B12 or folate), or certain genetic blood disorders. It may also appear in cases of chronic blood loss or certain cancers.
How long does it take to get results?
Results are typically available within 24 to 48 hours, depending on your lab’s processing schedule. Your healthcare provider will discuss the findings with you during your follow-up visit.
Can lifestyle changes affect RHC test results?
While diet and lifestyle factors (like iron-rich foods or avoiding blood-thinning medications) can influence overall blood health, they don’t directly alter RHC measurements. However, maintaining a balanced diet and discussing medications with your provider can support overall blood production.
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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