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Cell count in peripheral blood with differential (absolute neutrophil count)

Published: August 9, 2026Updated: August 15, 2026

This test measures the number of neutrophils, a type of white blood cell, in your blood. Neutrophils help fight infections and inflammation.

Quick summary

["Neutrophils are key defenders against bacterial infections; low or high levels may signal health concerns."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
17210-6
Short code
CD95
Synonyms
CD95 Cells NFr Bld
Category
chemistry
Sample
whole-blood
Container
EDTA (lavender/purple-top) tube for flow cytometry analysis. Sodium heparin (green-top) tube is an acceptable alternative.
Units
N/A
Ref low
15
Ref high
60
Fasting
false
Population
adult
Sex
all
Age range
1–99 years
Method
Flow cytometry using fluorescently labeled monoclonal antibodies targeting the CD95 (Fas/APO-1) surface antigen. Cells are stained with anti-CD95 antibodies and analyzed on a flow cytometer to determine the percentage and absolute count of CD95-expressing cells (primarily lymphocytes).
CPT
86356
SNOMED
399315005
Specimen volume
3-5 mL of whole blood (minimum 1 mL for pediatric samples). Volume requirements may vary by laboratory.
Stability
Specimen should be processed within 24 hours of collection when stored at room temperature (18-25°C). If processing is delayed beyond 24 hours, store at 2-8°C and process within 48 hours. Do not freeze whole blood samples.
Hemolysis max
100
Lipemia max
500
Icterus max
20
TAT
24–72 hours
Order
routine

What Is a Neutrophil?

Neutrophils are a type of white blood cell that play a critical role in your body’s immune response. They are the most abundant type of white blood cell and are primarily responsible for combating bacterial infections. When your body detects bacteria, neutrophils rush to the site to destroy them.

Why Might Your Doctor Order This Test?

Your doctor may order an absolute neutrophil count test to diagnose or monitor conditions like infections (especially bacterial), certain cancers (e.g., leukemia), autoimmune diseases, or to assess how your body responds to treatments like chemotherapy.

How Is the Test Performed?

A small sample of your blood is drawn from a vein, usually in your arm. The sample is then analyzed in a lab to count the number of neutrophils and other white blood cell types.

What Do Results Mean?

Results are typically reported as a count of neutrophils per microliter (µL) of blood. A lower than normal count may indicate an increased risk of infections, while a higher count could suggest inflammation, infection, or other conditions.

Reference range

Reference values vary by laboratory and methodology. Generally, CD95 expression is assessed as percentage of positive cells among total lymphocytes or as mean fluorescence intensity (MFI). Typical reference range for CD95+ lymphocytes in healthy adults is approximately 15-60% of lymphocytes. Absolute counts vary with total lymphocyte count.N/A

Specimen: whole-blood

No special patient preparation required. Fasting is not necessary. Patients should be well-hydrated. Recent immunotherapy, chemotherapy, or immunosuppressive therapy may affect results and should be documented.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Absolute Neutrophil Count (ANC)

Frequently asked questions

Why do I need this test?
Your doctor may recommend this test if you have symptoms like frequent infections, unexplained fevers, or if you’re undergoing treatment for a condition that affects your immune system. It helps track how well your immune response is functioning.
What are normal neutrophil levels?
Normal neutrophil levels can vary, but they typically range between 2,500 and 7,500 cells per microliter of blood. Your specific reference range may differ based on lab standards and your overall health.
What happens if my neutrophil count is low?
A low neutrophil count (neutropenia) can increase your risk of infections. Your doctor may recommend additional tests, adjustments to medications, or lifestyle changes to support 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 15, 2026. · Read our editorial policy