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Red Blood Cell Morphology Examination (Manual Count)

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

This test evaluates the shape, size, and overall health of red blood cells (RBCs) using a manual microscopic examination. It helps identify abnormalities that may indicate underlying conditions.

Quick summary

["This test assesses RBC shape and health to detect potential blood disorders."]

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

Key facts at a glance

LOINC
795-5
Short code
RBC # Prt Manual
Synonyms
RBC # Prt Manual
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
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
manual-count
CPT
85041
SNOMED
900000000000003001
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Doctors may order this test if you have symptoms like fatigue, pale skin, unusual bruising, or unexplained anemia. It’s also used to monitor conditions like sickle cell disease, thalassemia, or other inherited blood disorders. Sometimes, it’s part of a routine checkup or to investigate unexplained blood test results.

What to Expect During the Test

No special preparation is needed. A small blood sample is taken from a vein in your arm, similar to other blood tests. The sample is then examined under a microscope by a trained technician to assess RBC morphology.

What the Results Mean

The results describe the appearance of your RBCs, such as their size (MCV), shape (e.g., spherocytes, elliptocytes), and presence of any inclusions or abnormalities. While specific patterns can suggest certain conditions, results alone aren’t diagnostic. They’re usually interpreted alongside other clinical findings and tests.

Common Conditions Linked to RBC Morphology Abnormalities

Abnormal RBC shapes or counts can signal conditions like anemia (due to iron deficiency or other causes), hemolytic anemia (where RBCs are destroyed prematurely), or inherited disorders like spherocytosis or elliptocytosis. These findings may guide further testing or treatment.

Reference range

Adult males: 4.2-5.9; Females: 3.8-5.1 x 10^12/LN/A

Specimen: serum

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Manual RBC Morphology Check

Frequently asked questions

What questions might you have about this test?
This test is primarily used to detect microscopic abnormalities in red blood cells that aren’t captured by standard blood counts. It helps identify conditions that require further investigation or management, such as genetic blood disorders or chronic illnesses affecting RBC production.
How often will I need this test?
The frequency depends on your health status and any conditions your doctor suspects. If you have a known blood disorder, you may need this test regularly. Otherwise, it’s often done only when symptoms or other test results suggest it’s needed.
You might feel a slight pinch or discomfort during the blood draw, but it’s usually over quickly. Most people don’t experience significant pain afterward. Your doctor or nurse will explain the process and provide details about any precautions.
No special diet or fasting is required for this test. However, always follow your doctor’s instructions regarding food, drink, or medication before any medical procedure.
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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