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B-cell CD19/CD38 Immunophenotyping (Flow Cytometry) in Peripheral Blood

Published: August 9, 2026Updated: August 16, 2026

This test measures the presence and proportion of B-cells in your blood that express CD19 and CD38 markers, often used to assess immune cell populations or monitor conditions like lymphoma.

Quick summary

["Helps doctors evaluate immune health or track blood cancers."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
51444-8
Short code
CD19CD38
Synonyms
CD19+CD38+ Cells Bld-aCnc
Category
chemistry
Sample
whole-blood
Container
EDTA (lavender/purple-top) or ACD (yellow-top) anticoagulant tube; specialized flow cytometry tubes may be required per laboratory specifications
Units
N/A
Ref low
20
Ref high
300
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Flow cytometry using fluorescently labeled monoclonal antibodies directed against CD19 and CD38 surface markers, with absolute count determination using counting beads or volumetric measurement
CPT
86355
SNOMED
271649006
Specimen volume
3-5 mL of whole blood for adults; minimum 1 mL for pediatric samples
Stability
Specimen should be processed within 24-48 hours of collection when stored at room temperature (18-25°C). Do not refrigerate. Optimal analysis time is within 24 hours of collection.
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Is Done

Doctors may order this test to diagnose or monitor conditions such as leukemia, lymphoma, or other immune system disorders. It can also help track responses to treatments like chemotherapy or stem cell transplants.

What to Expect Before the Test

No special preparation is needed. You’ll have a small needle inserted into a vein, usually in your arm, to draw a small amount of blood. The process takes about 5 minutes, and you may feel a brief pinch or discomfort.

What the Test Results Mean

Results show the percentage of B-cells expressing CD19 and CD38 markers. Abnormal levels may indicate immune disorders, cancers, or other blood-related conditions. Your doctor will interpret these results in the context of your overall health and medical history.

Common Uses and Conditions

This test is particularly useful in diagnosing hematologic malignancies (like B-cell lymphoma or leukemia), evaluating immune deficiencies, or monitoring immune cell activity in chronic diseases.

Reference range

Reference ranges vary by laboratory and instrument platform; typical adult absolute counts for CD19+CD38+ B lymphocytes range from approximately 20-300 cells/µL (0.5-5% of total lymphocytes). Pediatric values may differ.N/A

Specimen: whole-blood

No special patient preparation required. Specimen should be collected prior to administration of immunosuppressive therapy or cellular products when possible to avoid interference with results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

B-cell marker test

Frequently asked questions

What does a ‘positive’ or ‘negative’ result mean?
A ‘positive’ result here refers to the presence of CD19/CD38 markers on B-cells, which is typically expected in healthy individuals. However, abnormal patterns (e.g., high or low proportions) may indicate underlying conditions that require further evaluation by your healthcare provider.
How often will I need this test?
Frequency depends on your medical condition and treatment plan. Your doctor will determine how often this test is needed based on your diagnosis, symptoms, and response to treatment.
Is there any risk or side effect from this blood draw?
Most people experience only minor discomfort or bruising at the injection site. Rarely, there may be a slight swelling or infection, but serious complications are uncommon.
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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 16, 2026. · Read our editorial policy