Skip to content

B-cell Lymphocyte Count (Absolute, Peripheral Blood)

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

This test measures the number of B cells, a type of white blood cell involved in immune responses, found in your blood.

Quick summary

["Understanding your B-cell count helps assess immune function and detect conditions like infections or immune disorders."]

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

Key facts at a glance

LOINC
51264-0
Short code
CD19TISS
Synonyms
CD19 Cells NFr Tiss
Category
chemistry
Sample
serum
Container
Sterile container with 10% neutral buffered formalin for IHC; or RPMI/culture medium for flow cytometry; tissue should be fresh or properly preserved
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Immunohistochemistry (IHC) or Flow Cytometry with CD19-specific monoclonal antibodies
CPT
88342 (immunohistochemistry) or 88184-88189 (flow cytometry panel)
SNOMED
38341003 | 116913000
Specimen volume
Adequate tissue sample size determined by clinical procedure (biopsy or resection specimen)
Stability
Formalin-fixed paraffin-embedded (FFPE) tissue: stable indefinitely at room temperature; Fresh tissue for flow cytometry: process within 24-48 hours at 2-8°C
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
48–168 hours
Order
routine

Why This Test Matters

B cells are crucial for producing antibodies that fight infections and help your body remember past illnesses. Low or high counts may signal immune system issues, such as infections, autoimmune diseases, or certain cancers like lymphoma.

When You Might Need This Test

Your doctor may order this test if you have symptoms like frequent infections, unexplained fatigue, swollen lymph nodes, or if you’re undergoing treatment for conditions like leukemia or autoimmune diseases.

How the Test Works

A small sample of your blood is taken and analyzed to count the B cells. This is typically done using a blood test that separates and counts different types of white blood cells.

What to Expect Before the Test

No special preparation is needed. You may have a slight pinch when the blood is drawn, but it usually takes only a few minutes. Avoid strenuous activity or eating heavy meals before the test.

Reference range

Reference ranges vary by tissue type and laboratory methodology; results should be interpreted in conjunction with clinical findings and histopathological contextN/A

Specimen: serum

No special patient preparation required; tissue samples are obtained via biopsy or surgical excision following standard surgical protocols

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

B-cell count

Frequently asked questions

A low B-cell count may indicate immune deficiencies, infections, or certain cancers. A high count could suggest chronic infections, autoimmune diseases, or overactive immune responses. Always discuss results with your healthcare provider.
This test is often used alongside other blood tests to diagnose or monitor conditions like HIV, lymphoma, or other immune-related disorders. It helps track how well treatments are working.
What Does a Low B-Cell Count Mean?
A low B-cell count could mean your immune system isn’t working as well as it should, increasing your risk of infections. Your doctor may recommend further testing or treatments to address the underlying cause.
How Often Should I Get This Test?
The frequency depends on your health condition. If you have an ongoing medical issue, your doctor may schedule follow-up tests every few months or as needed. Regular monitoring helps manage your treatment effectively.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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