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Blasts, Blood — Manual Count

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

A laboratory test that identifies and counts blast cells, a type of immature white blood cell, in a peripheral blood sample.

Quick summary

["Detects and counts immature white blood cells in the blood, which can help evaluate unexplained blood-count abnormalities or possible bone marrow disorders."]

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

Key facts at a glance

LOINC
71669-6
Short code
Blasts NFr.DF Bld Manual
Synonyms
Blasts NFr.DF Bld Manual
Category
liver
Sample
whole-blood
Container
Lavender-top (EDTA)
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
manual-count
CPT
84484
SNOMED
302774002
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

This test examines a blood sample for blast cells. Blasts are immature white blood cells that normally develop in the bone marrow before maturing and entering the bloodstream.

Why might I need this test?

A manual blast count may be ordered when a routine complete blood count or blood differential shows unexplained abnormalities. It can help evaluate possible infection, medication effects, or conditions involving the bone marrow and blood-forming cells.

How is the test performed?

A blood sample is collected, usually by drawing blood from a vein. A laboratory specialist reviews a stained blood smear and manually identifies and counts blast cells. Results are often considered along with the rest of the blood count and other laboratory findings.

How do I prepare for the test?

No special preparation is usually required for a routine blood draw. Follow the laboratory's instructions and tell the healthcare professional if you have a bleeding disorder or are taking blood-thinning medicines.

Reference range

Adult: 10-40 U/LN/A

Specimen: whole-blood

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

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Blasts are generally not present in meaningful numbers in peripheral blood, so an increased count may be important. A higher count can occur with serious infection, certain bone marrow disorders, or the effects of some treatments. The result should be interpreted by a healthcare professional together with symptoms, other blood counts, and additional testing.

Short name

Manual blood blast count

Frequently asked questions

What are blast cells?
Blast cells are immature forms of white blood cells. They are produced in the bone marrow and usually mature before entering the bloodstream.
Does a manual blast count require a bone marrow sample?
No. This test uses a peripheral blood sample. A bone marrow examination is a separate test that may be recommended if the blood findings or other results suggest a need for it.
What does an abnormal result mean?
An increased blast count may be associated with infection, medication effects, or a bone marrow condition. It does not by itself establish a diagnosis, and follow-up testing may be needed.
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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