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Neutrophil count in serum/plasma (absolute)

Published: August 9, 2026Updated: August 15, 2026

This test measures the number of neutrophils, a type of white blood cell, in your blood serum or plasma. Neutrophils help fight infections and inflammation.

Quick summary

["Neutrophils protect your body from infections and help reduce swelling."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
93866-2
Short code
C4NEF
Synonyms
C4 NeF SerPl Ql
Category
chemistry
Sample
serum
Container
Serum separator tube (SST, tiger top) or red-top tube for serum collection; EDTA plasma tube (lavender top) for plasma collection
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Enzyme-Linked Immunosorbent Assay (ELISA) or Hemolytic Assay (C3 Nephritic Factor detection)
CPT
86161
SNOMED
121800002
Specimen volume
1-2 mL of serum or plasma; minimum 0.5 mL
Stability
Serum/plasma stable for 8 hours at room temperature (20-25°C); 2 days refrigerated at 2-8°C; up to 3 months frozen at -20°C or below. Avoid repeated freeze-thaw cycles.
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
48–168 hours
Order
routine

What Is a Neutrophil Count Used For?

Doctors may order this test to check for infections, inflammation, or conditions like leukemia, where the number of neutrophils might be too high or too low. It can also help monitor treatments for blood disorders or autoimmune diseases.

When Might You Need This Test?

You might need this test if you have symptoms like frequent infections, unexplained fevers, swollen lymph nodes, or if your doctor suspects a blood disorder. It’s also used during chemotherapy or other treatments that affect white blood cell counts.

What to Expect Before the Test

No special preparation is usually needed, but your doctor may ask you to avoid certain medications or activities for a short time. The test is typically done by drawing blood from a vein in your arm.

What Happens During the Test?

A healthcare professional will insert a small needle into your arm to draw blood into a test tube. The process usually takes a few minutes, and you may feel a slight pinch or discomfort.

Reference range

Negative: C4 nephritic factor not detected. Positive: C4 nephritic factor detected, suggestive of complement dysregulation.N/A

Specimen: serum

No special patient preparation is required. However, patients should be well-hydrated. Inform the laboratory of any current immunosuppressive therapy or recent blood transfusions, as these may influence complement levels.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Absolute Neutrophil Count (Serum/Plasma)

Frequently asked questions

Why might my neutrophil count be checked?
If your neutrophil count is low, it could mean you’re more likely to get infections because your immune system isn’t working as well. High counts might indicate an infection, inflammation, or other health issues like cancer or autoimmune diseases. Your doctor will discuss the results with you based on your symptoms and medical history.
What do abnormal neutrophil counts mean?
A low neutrophil count (neutropenia) may require additional tests or treatments to manage infections safely. A high neutrophil count (neutrophilia) could signal an infection, stress, or certain medical conditions. Your doctor will interpret the results in the context of your overall health.
Can I eat or drink before this test?
You can eat and drink normally before the test unless your doctor advises otherwise. Avoiding certain medications (like blood thinners) may be recommended, so always follow your doctor’s instructions.
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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 15, 2026. · Read our editorial policy