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Lymphocyte count (absolute)

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

This test measures the number of lymphocytes, a type of white blood cell that helps your immune system fight infections and diseases.

Quick summary

["Lymphocytes help protect your body from illness and infection."]

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

Key facts at a glance

LOINC
97598-7
Short code
NKCELLS-LR
Synonyms
CD3-CD16+CD56+ Cells/lymph NFr L resp FC
Category
chemistry
Sample
serum
Container
Sterile, leak-proof container for lower respiratory specimen (bronchoalveolar lavage fluid, bronchial washings, or tracheal aspirate); collection in saline as appropriate
Units
N/A
Ref low
5
Ref high
20
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
flow-cytometry
CPT
86356
SNOMED
122565008
Specimen volume
Minimum 2 mL of lower respiratory specimen; larger volumes (10-50 mL BAL) preferred for adequate cell yield
Stability
Process within 4 hours of collection at room temperature (15-25°C); do not refrigerate or freeze as this compromises cell viability and surface marker integrity
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

What Are Lymphocytes?

Lymphocytes are a key part of your immune system. They include B cells, T cells, and natural killer cells, each playing a role in identifying and destroying harmful substances like bacteria, viruses, and abnormal cells. Your body produces lymphocytes in your bone marrow and lymph nodes. When you get sick, your lymphocyte count may rise to help fight the infection.

Why Might You Need This Test?

Doctors may order a lymphocyte count test to diagnose or monitor conditions affecting your immune system, such as infections, certain cancers (like lymphoma or leukemia), autoimmune diseases, or to check how well your immune response is working after treatments like chemotherapy.

How Is This Test Done?

A small sample of your blood is taken from a vein, usually in your arm. The blood is then sent to a lab, where it is analyzed to count the number of lymphocytes. This test is quick and painless, and you can return to your normal activities right after.

What Do the Results Mean?

Results show the total number of lymphocytes in your blood. While specific reference ranges can vary by lab, low or high counts may signal underlying health issues that need further evaluation by your healthcare provider.

Reference range

Reference ranges vary by laboratory; generally expressed as a percentage of total lymphocytes and as absolute count per microliter. NK cells typically constitute 5-20% of peripheral blood lymphocytes (approximately 90-600 cells/μL in adults)N/A

Specimen: serum

No special patient preparation required. Inform the laboratory of any recent immunosuppressive therapy, chemotherapy, or biologic agent use as these may affect NK cell counts

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Lymphocyte count

Frequently asked questions

What causes a low lymphocyte count?
Low lymphocyte counts can occur due to infections (like HIV or COVID-19), certain medications, autoimmune diseases, or conditions that weaken your immune system, such as HIV/AIDS or chemotherapy for cancer. It may also be a sign of bone marrow disorders or severe malnutrition.
What causes a high lymphocyte count?
High lymphocyte counts can happen during infections (like mononucleosis or tuberculosis), certain cancers (like chronic lymphocytic leukemia), or as part of an overactive immune response. Chronic stress, certain medications, or autoimmune diseases may also contribute.
How often should I get this test?
Your doctor will determine how often you need this test based on your health condition, treatment plan, or symptoms. Regular monitoring may be needed if you have a chronic illness or are undergoing treatments that affect your immune system.
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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