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CD19+ Cell Count in Cerebrospinal Fluid (CSF)

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

This test measures the number of CD19+ cells, a type of immune cell found in the cerebrospinal fluid (CSF). It helps assess immune cell presence in the central nervous system.

Quick summary

["Evaluates immune cell activity in CSF for conditions affecting the brain and spinal cord."]

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

Key facts at a glance

LOINC
43972-9
Short code
CD19 CSF
Synonyms
CD19 Cells # CSF
Category
chemistry
Sample
csf
Container
Sterile CSF collection tube; polystyrene or polypropylene tube suitable for flow cytometry analysis. Tube should be free of preservatives that may affect cell viability.
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Flow cytometry (immunophenotyping)
CPT
86355
SNOMED
122615007
Specimen volume
1-3 mL of cerebrospinal fluid (minimum 0.5 mL for flow cytometric immunophenotyping)
Stability
Specimen should be processed within 1-4 hours of collection for optimal cell viability. If immediate processing is not possible, refrigerate at 2-8°C and analyze within 24 hours. Do not freeze.
Hemolysis max
200
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may order this test if you have symptoms like headaches, neurological issues, or signs of an immune response in the brain or spinal cord. It could be used to investigate conditions such as infections, inflammatory diseases, or certain cancers like lymphoma.

What to Expect Before the Test

No special preparation is needed. A small amount of CSF is collected through a procedure called a lumbar puncture (spinal tap), where a needle is inserted into the spinal canal. You may feel pressure or mild discomfort, but it’s usually well-tolerated.

What the Test Results Mean

The results show the count of CD19+ cells, which are a subset of B lymphocytes—a key part of the immune system. Abnormal counts may indicate immune activation, infection, or other neurological conditions.

Common Conditions Monitored

This test is often used to monitor conditions like multiple sclerosis, certain infections (e.g., meningitis), or immune-related disorders affecting the central nervous system.

Reference range

Reference range not established; CD19+ B-lymphocytes are typically absent or present in very low numbers in normal cerebrospinal fluid. Results should be interpreted in clinical context.N/A

Specimen: csf

No special patient preparation required. Inform the ordering physician of any recent intrathecal medications, recent lumbar punctures, or active CNS infections as these may affect results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

CD19+ Lymphocyte Count (CSF)

Frequently asked questions

What does a high CD19+ cell count in CSF mean?
A high count may indicate inflammation, infection, or an immune-related condition affecting the brain or spinal cord. Your doctor will discuss the results with you based on your symptoms and test findings.
How is this test different from blood CD19+ tests?
This test specifically measures CD19+ cells in cerebrospinal fluid, which reflects immune activity in the central nervous system. Blood tests measure CD19+ cells in circulation, not directly in the CSF.
Can I eat or drink before this test?
You can eat and drink normally before the test, as no fasting is required. However, inform your healthcare provider if you’re taking any medications, as they may affect the procedure.
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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