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B-cell Lymphocyte Count (Absolute)

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

This test measures the number of B-cells (a type of white blood cell) in your blood. B-cells are important for making antibodies that help fight infections.

Quick summary

["B-cells help your immune system defend against germs and diseases."]

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

Key facts at a glance

LOINC
51333-3
Short code
CD19CD43
Synonyms
CD19+CD43+ Cells NFr Tiss
Category
chemistry
Sample
serum
Container
Sterile tissue transport container with appropriate transport medium (e.g., RPMI 1640 or saline); heparinized tube acceptable for cell suspensions
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Flow cytometry immunophenotyping
CPT
88184
SNOMED
249327004
Specimen volume
Adequate tissue biopsy (minimum 0.5 cm³) or 1-5 mL of cell suspension in tissue-appropriate transport medium
Stability
Fresh tissue should be processed within 24 hours of collection when stored at 2-8°C; cell suspensions stable up to 48 hours at 2-8°C; do not freeze
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

Why This Test Might Be Ordered

Your doctor may recommend this test if you have symptoms of an immune system issue, such as frequent infections, unusual fatigue, or unexplained swelling. It could also be part of a checkup for conditions like lymphoma, leukemia, or autoimmune diseases.

What to Expect Before the Test

No special preparation is needed. You’ll have a simple blood draw, usually from a vein in your arm. The process takes a few minutes, and you may feel a slight pinch, but it’s generally quick and comfortable.

What the Test Results Mean

Results are compared to a standard range for healthy adults. Low counts may suggest immune disorders, infections, or certain cancers. High counts might indicate overactive immune responses or certain blood disorders. Your doctor will discuss findings with you.

Common Reasons for Abnormal Results

Low B-cell counts could be due to infections, chemotherapy, autoimmune diseases, or genetic conditions. High counts might be linked to chronic infections, certain cancers, or overstimulation of the immune system.

Reference range

Interpretation provided in report; results expressed as percentage of CD19+ B-lymphocytes co-expressing CD43 and as absolute count per tissue specimen or cellular subsetN/A

Specimen: serum

No special patient preparation required. Inform the laboratory of any current immunosuppressive therapy, recent blood transfusions, or concurrent monoclonal antibody treatment (e.g., rituximab) that may affect B-cell populations.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal B-cell counts can signal underlying health issues, such as immune deficiencies, cancers like lymphoma, or autoimmune disorders. Monitoring these cells helps doctors diagnose and manage conditions affecting your immune system.

Short name

B-Cell Count

Frequently asked questions

How often will I need this test?
The frequency depends on your health condition. If you have a chronic illness or are undergoing treatment, your doctor may order this test regularly. Otherwise, it’s often done only when symptoms or concerns arise.
What does a low B-cell count mean?
A low B-cell count may indicate weakened immunity, which could increase your risk of infections. It could also be a sign of certain cancers, autoimmune diseases, or treatments that suppress the immune system.
Can diet or supplements affect B-cell counts?
Diet and supplements generally don’t directly affect B-cell counts, but they can influence overall immune health. Focus on a balanced diet rich in vitamins (like vitamin D and B12) and stay hydrated to support immune function.
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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