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Red Blood Cell Morphology Profile (Quantitative, Microcytometry-Based)

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

This test evaluates the size, shape, and distribution of red blood cells (RBCs) using microscopic analysis to identify abnormalities that may indicate underlying blood disorders.

Quick summary

["Assessing RBC shape and size helps diagnose conditions like anemia or blood disorders."]

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

Key facts at a glance

LOINC
53974-2
Short code
RBC morph UrnS Micro-Imp
Synonyms
RBC morph UrnS Micro-Imp
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 This Test Measures

The test examines various characteristics of red blood cells, including mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and red cell distribution width (RDW). These measurements help determine whether RBCs are smaller, larger, or more varied in size and shape than usual.

Common Conditions Evaluated

Abnormal RBC morphology can signal conditions such as iron deficiency anemia, thalassemia, or other inherited blood disorders. It may also be used to assess response to treatments or identify subtle changes in blood health.

Preparation for the Test

No special preparation is needed for this test. A simple blood draw from your arm is typically sufficient. If you’re on blood-thinning medication or have a history of bleeding disorders, let your provider know.

How the Results Are Used

Your healthcare provider will review these results alongside other blood tests to diagnose or monitor conditions like anemia, infections, or metabolic disorders. They may also check for signs of bone marrow issues or other systemic diseases.

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.

Abnormal RBC morphology can indicate a range of conditions, from mild nutritional deficiencies to more serious inherited blood disorders. For example, microcytic (smaller) RBCs may suggest iron deficiency, while macrocytic (larger) RBCs could point to vitamin B12 or folate deficiencies. High RDW may signal anemia or other blood disorders requiring further investigation.

Frequently asked questions

What does an abnormal RBC morphology test mean?
An abnormal result may not indicate a specific diagnosis on its own, but it often prompts additional testing to explore potential causes, such as nutritional deficiencies, genetic disorders, or other health conditions.
Will I need more tests if this result is abnormal?
Yes, your healthcare provider may recommend further blood tests, such as iron studies, vitamin levels (B12/folate), or genetic testing, depending on your symptoms and overall health.
How often should I get this test?
The frequency depends on your medical history, symptoms, and ongoing treatments. Your provider will determine if periodic monitoring is needed, especially if you have a history of blood disorders or anemia.
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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