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CD21 Cell Count in Peripheral Blood (Fluid)

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

This test measures the number of CD21-positive cells, which are a type of immune system cell found in blood. CD21 is a protein involved in immune function, often assessed in conditions affecting the immune system.

Quick summary

["CD21 cells help your immune system recognize and respond to infections and other threats."]

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

Key facts at a glance

LOINC
57419-4
Short code
CD21BF
Synonyms
CD21 Cells NFr Fld
Category
chemistry
Sample
serum
Container
Sterile body fluid collection container; lavender-top (EDTA) tube preferred for anticoagulated samples
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Flow cytometry
CPT
88184
SNOMED
39754003
Specimen volume
1-5 mL of body fluid depending on source; minimum 1 mL recommended for adequate flow cytometry analysis
Stability
Maintain at room temperature (18-25°C); analyze within 24 hours of collection for optimal CD21 antigen detection
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

What Is CD21 Used For?

CD21 cell counts are primarily used to evaluate immune function, particularly in diagnosing and monitoring conditions like immune deficiencies, certain cancers (e.g., lymphoproliferative disorders), or autoimmune diseases. It may also be part of a broader evaluation for patients with recurrent infections or unexplained immune issues.

How Is This Test Performed?

A small blood sample is drawn from a vein, typically in your arm. The blood is then analyzed in a lab to count CD21-positive cells, which are part of the immune system’s B-cell lineage. Results are compared to standard reference ranges for healthy adults.

Why Might You Need This Test?

Your healthcare provider may order this test if you have symptoms like frequent infections, unusual fatigue, or if you’ve been diagnosed with a condition that affects immune cells. It can also help monitor treatment responses in certain cancers or immune disorders.

What Do Results Mean?

Results may indicate low or high CD21 cell counts, which can signal immune dysfunction. However, reference ranges can vary by lab, so your provider will interpret results in the context of your overall health and medical history.

Reference range

Reference range established by individual laboratory; results expressed as percentage of total lymphocytes or absolute count (cells/μL)N/A

Specimen: serum

No special patient preparation required. Sample should be processed within 24 hours of collection for optimal viability of lymphocyte markers.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: CD21 Cell Counts Play a Key Role in Diagnosing and Managing Immune-Related Disorders

Short name

CD21 Cells

Frequently asked questions

Why do doctors check CD21 levels?
Doctors may check CD21 levels to assess immune function, especially in patients with suspected immune deficiencies, autoimmune diseases, or certain cancers like lymphoma. It helps identify whether immune cells are functioning normally or if there’s an imbalance.
What causes low or high CD21 cell counts?
Low CD21 counts may occur in immune deficiencies, certain cancers (e.g., B-cell lymphomas), or after treatments that suppress the immune system. High counts could be seen in some inflammatory conditions or as part of a broader immune response, but this is less common and requires further evaluation.
Can diet or lifestyle affect CD21 test results?
Diet or lifestyle factors generally do not directly affect CD21 cell counts, as these are measured from blood samples. However, conditions like infections or recent illnesses may temporarily impact immune cell counts, so it’s best to avoid extreme stress or illness before testing.
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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