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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 to help assess immune function, particularly in conditions involving immune system disorders.

Quick summary

["B-cell counts help diagnose and monitor immune-related conditions."]

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

Key facts at a glance

LOINC
51352-3
Short code
CD19CD58
Synonyms
CD19+CD58+ Cells NFr Tiss
Category
chemistry
Sample
serum
Container
Sterile tissue collection container with appropriate transport medium (e.g., RPMI 1640 or saline) for flow cytometry; tissue should be transported fresh or refrigerated (2-8°C)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Flow cytometry with dual immunofluorescence staining using monoclonal antibodies (anti-CD19 and anti-CD58), typically performed on fresh tissue homogenate or cell suspension
CPT
88184
SNOMED
399080008
Specimen volume
Fresh tissue biopsy sample of adequate size (minimum 0.5-1 cm³) to obtain sufficient cell yield for flow cytometric analysis
Stability
Tissue must be processed within 24 hours of collection for optimal cell viability; store at 2-8°C during transport; do not freeze
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

Why This Test Is Done

Your healthcare provider may order this test if you have symptoms or conditions linked to immune system issues, such as infections, autoimmune diseases, or certain cancers (e.g., lymphoma). It may also be used to monitor treatment effectiveness or check for immune deficiencies.

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 blood. The process is quick and typically painless.

What the Test Results Mean

Results are usually reported as a count of B-cells per microliter of blood. Lower than expected counts may suggest immune system problems, while higher counts could indicate overactive immune responses or certain infections.

Common Conditions Affecting Results

Low B-cell counts might be seen in conditions like HIV/AIDS, certain cancers, or long-term immune suppression. High counts could be linked to chronic infections, autoimmune diseases, or overactive immune responses.

Reference range

Reference values are laboratory-specific and method-dependent; results are typically reported as percentage of CD19+CD58+ cells relative to total lymphocyte population or as absolute count per unit tissue weight. Consult laboratory-specific reference range for interpretation.N/A

Specimen: serum

No special patient preparation required. Specimen should be collected under sterile conditions to preserve cell viability for flow cytometric analysis.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

B-cell count

Frequently asked questions

How often will I need this test?
Frequency depends on your health condition and treatment plan. Your doctor will determine how often you need retests, often based on symptoms, lab trends, or treatment schedules.
Will fasting affect this test?
No, fasting is not required for B-cell counts. This test measures cells directly from your blood, so diet or timing does not influence results.
What if my results are outside the normal range?
If your B-cell count is abnormal, your doctor will discuss next steps, which may include further testing, adjustments to treatment, or additional monitoring to understand the cause and plan care.
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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