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CD4 T-Cell Count (Absolute)

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

This test measures the number of CD4 T-cells, a type of white blood cell important for immune function. CD4 cells help the body fight infections and respond to vaccines.

Quick summary

["CD4 cells are critical for immune health; low counts may signal immune weakness."]

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

Key facts at a glance

LOINC
17161-1
Short code
CD47
Synonyms
CD47 Cells NFr Bld
Category
chemistry
Sample
whole-blood
Container
EDTA (lavender-top) or heparin (green-top) anticoagulant tube suitable for flow cytometry
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Flow cytometry
CPT
86356
SNOMED
117617002
Specimen volume
3-5 mL of whole blood; minimum 1 mL for pediatric samples
Stability
Process within 24 hours of collection at room temperature (18-25°C); do not refrigerate as this may affect cell surface marker expression
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
24–72 hours
Order
routine

Why Is This Test Done?

Your doctor may order a CD4 count to monitor immune function, especially if you have HIV, an autoimmune condition, or are undergoing treatments that affect immunity. It helps track how well your immune system is responding to treatment or managing chronic illnesses.

What Does a Low or High Count Mean?

A low CD4 count (below normal) may indicate a weakened immune system, which can increase the risk of infections or certain cancers. A very high count (rarely seen) might suggest overactive immune responses or certain blood disorders.

How Is This Test Performed?

A small sample of blood is drawn from a vein, usually in your arm. The blood is then analyzed in a lab to count the number of CD4 T-cells.

What Are Common Results?

Results are typically reported as a count of CD4 cells per microliter (cells/µL). Normal ranges can vary slightly by lab, but generally, healthy adults have counts between 500 and 1,500 cells/µL. Your doctor will interpret results based on your health status and medical history.

Reference range

Results reported as percentage of CD47-positive cells or absolute count; reference ranges established by individual laboratory based on flow cytometry analysis. CD47 is broadly expressed on most hematopoietic cells.N/A

Specimen: whole-blood

No special patient preparation required. Sample should be processed promptly to maintain cell viability for accurate flow cytometric analysis.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

CD4 Cell Count

Frequently asked questions

What factors can affect my CD4 count?
Several factors can influence your CD4 count, including infections (like colds or flu), chronic illnesses (such as diabetes or kidney disease), stress, poor nutrition, smoking, or certain medications. If you’re taking medications for HIV, your doctor may monitor your CD4 count regularly to adjust treatment as needed.
How often should I get this test?
Your doctor will determine how often you need this test based on your medical condition. For example, people with HIV are often tested every few months to monitor immune health and treatment progress. Others may only need it if they have symptoms of immune issues or are undergoing treatments that affect immunity.
Can I prepare for this test?
No special preparation is usually needed for a CD4 count test. You may be asked to fast before the blood draw if other tests are scheduled at the same time, but this is not always required. Rest assured that the blood draw is quick and typically well-tolerated.
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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