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Blast Cell Score, CD45, Nonfractionated Specimen — Flow Cytometry

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

A flow cytometry test that estimates the proportion of immature blast cells using CD45 staining in a nonfractionated specimen.

Quick summary

["This test helps assess the number and characteristics of immature blood cells, often in the evaluation or monitoring of leukemia."]

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

Key facts at a glance

LOINC
107076-2
Short code
Blasts.CD45 NFr Spec FC
Synonyms
Blasts.CD45 NFr Spec FC
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
10
Ref high
40
Critical range
— – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
flow-cytometry
CPT
84484
SNOMED
302774002
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

What is this test?

This test uses flow cytometry to estimate the blast cell score, which is the proportion of immature precursor cells in the submitted sample. CD45 is a cell-surface marker commonly used to help identify and classify white blood cells.

Why might I need this test?

A blast cell score may be ordered when leukemia or another blood-forming disorder is suspected. It may also be used to monitor response to treatment or assess changes after bone marrow transplantation.

How is the test performed?

A laboratory instrument called a flow cytometer analyzes individual cells after they are stained with fluorescent antibodies, including CD45. The laboratory then estimates the percentage of cells with characteristics of blasts.

How do I prepare for the test?

Special preparation such as fasting is generally not required for a blood flow cytometry test. If the order includes a bone marrow sample, the collection is performed by a healthcare professional, and you should follow the instructions provided by your care team.

Reference range

Adult: 10-40 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

An increased blast cell score may occur with acute leukemia, certain other blood disorders, or during recovery after marrow-damaging treatment. Results must be interpreted with the overall cell count, blood or marrow findings, other flow cytometry markers, and your treatment history; there is no single cutoff that applies to every patient.

Short name

CD45 blast cell score

Frequently asked questions

Does a high blast cell score always mean I have leukemia?
No. A high score can occur in several conditions and may also reflect treatment-related marrow recovery. Your clinician will interpret it alongside other laboratory and clinical findings.
What is CD45?
CD45 is a protein found on many white blood cells. Flow cytometry uses antibodies that bind CD45 to help distinguish different cell populations and identify immature cells.
Does this test replace a bone marrow biopsy?
No. Flow cytometry and bone marrow biopsy provide different information and are often used together. A pathologist may also review blood or marrow cell appearance and other test 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