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B-cell Lymphocyte Count (Absolute)

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

This test measures the number of B-cells in your blood, which are a type of white blood cell important for fighting infections and producing antibodies.

Quick summary

["B-cells help your immune system respond to germs and protect you from illness."]

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

Key facts at a glance

LOINC
14964-1
Short code
CD19ABN
Synonyms
CD19 Abn Bld Cells NFr
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA) tube for whole blood; sodium heparin tube acceptable for flow cytometry
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Flow cytometry (immunophenotyping)
CPT
86356
SNOMED
39078006
Specimen volume
3-5 mL whole blood; minimum 1 mL for pediatric samples
Stability
Room temperature: 24 hours; refrigerated (2-8°C): 48 hours. Specimen should be processed within 24 hours for optimal viability of leukocyte surface markers.
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
24–72 hours
Order
routine

Why This Test Is Done

Your doctor may order this test to evaluate your immune system, check for infections, monitor conditions like chronic lymphocytic leukemia (CLL), or assess immune responses before or after treatments such as chemotherapy or immunotherapy.

What to Expect Before the Test

No special preparation is needed. You’ll have a small needle inserted into your arm or hand to draw a blood sample. The process usually takes a few minutes, and you may feel a brief pinch or slight discomfort.

What the Test Results Mean

Results are typically reported as the absolute count of B-cells per microliter (µL) of blood. Low counts may indicate immune deficiencies or certain cancers, while high counts could signal overactive immune responses or conditions like CLL.

Common Conditions Monitored

This test is often used to monitor B-cell-related disorders, such as autoimmune diseases (e.g., lupus), infections (e.g., HIV), or cancers like lymphoma or leukemia.

Reference range

Reported as presence or absence of abnormal CD19-positive B-cell populations; quantitative results expressed as cells/μL or percentage of total lymphocytes. Reference values vary by clinical context and laboratory.N/A

Specimen: whole-blood

No fasting required. Patients should inform their healthcare provider of any recent blood transfusions, immunosuppressive therapy, or vaccination history as these may affect B-cell populations.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

B-Cell Count

Frequently asked questions

What does a low B-cell count mean?
A low B-cell count may suggest weakened immune function, which could increase your risk of infections. It might also be linked to certain medical conditions or treatments that suppress the immune system.
How is B-cell count tested?
The test involves drawing blood, which is then analyzed in a lab to count the B-cells. No special preparation is required, but you may experience mild discomfort during the draw.
Can diet or medications affect B-cell counts?
Certain medications (e.g., chemotherapy, steroids) or chronic illnesses (e.g., HIV) can temporarily lower B-cell counts. Dietary factors like vitamin deficiencies may also play a role, but results are interpreted in the context of your overall health.
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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