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B-cell Lymphocyte Count (Peripheral Blood)

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

This test measures the number of B cells, a type of white blood cell important for immune function, in your blood.

Quick summary

["B cells help your body fight infections and produce antibodies."]

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

Key facts at a glance

LOINC
103681-3
Short code
CD19
Synonyms
CD19 Cells/lymph NFr Bld
Category
chemistry
Sample
whole-blood
Container
EDTA (purple-top) tube or ACD (yellow-top) tube for flow cytometry
Units
N/A
Ref low
5
Ref high
15
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
Flow Cytometry
CPT
86356
SNOMED
416928007
Specimen volume
3-5 mL whole blood (adult); minimum 1 mL (pediatric)
Stability
Room temperature: 24-48 hours; refrigerated (2-8°C): up to 48 hours; do not freeze. Process within 24 hours for optimal viability.
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like frequent infections, fatigue, or swelling in your lymph nodes. It could also be part of an evaluation for autoimmune diseases, certain cancers (like lymphoma), or immune system disorders.

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), and blood will be drawn into a test tube. The process takes about 5 minutes.

What the Test Results Mean

Results show the count of B cells in your blood. Low levels may indicate immune deficiencies or certain diseases, while high levels could suggest overactive immune responses or conditions like chronic infections.

Common Conditions Linked to B-Cell Counts

Abnormal B-cell counts can signal conditions like chronic lymphocytic leukemia, autoimmune diseases (e.g., lupus), or infections (e.g., HIV). Your provider will discuss findings in the context of your full health picture.

Reference range

CD19+ B lymphocytes typically comprise 5-15% of total lymphocytes in healthy adults; absolute counts vary by age with higher values in childrenN/A

Specimen: whole-blood

No fasting required. Patient should be well-hydrated. Avoid recent immunizations or immunosuppressive therapy when possible. Inform laboratory of any recent blood transfusions.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

B-Cell Count

Frequently asked questions

How often will I need this test?
Your provider will determine how often you need this test based on your symptoms, medical history, and treatment plan. Some people may need it monthly, while others may only need it once.
Can I eat or drink before the blood draw?
You can eat and drink normally before the test, as it doesn’t affect the results. However, inform your provider if you’re on blood-thinning medications.
What if my B-cell count is outside the normal range?
If your results are abnormal, your provider will explain what it means and may recommend further testing or adjustments to your treatment plan.
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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