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Complete Blood Count with Differential (CBC with Differential)

Published: August 9, 2026Updated: August 17, 2026

This test measures the types and counts of cells in your blood, including red blood cells, white blood cells, and platelets, along with the proportions of different white blood cell types.

Quick summary

["A CBC helps doctors assess your overall health, detect infections, anemia, or blood disorders."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
6292-7
Short code
Comp DAF RBC Ql
Synonyms
Comp DAF RBC Ql
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
4.2
Ref high
5.9
Critical range
2 N/A – 7 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85041
SNOMED
900000000000003001
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What Does a CBC With Differential Measure?

A CBC with differential evaluates several key components: Red blood cells (RBCs) provide oxygen to tissues; white blood cells (WBCs) fight infections and inflammation; and platelets help with blood clotting. The differential count breaks down WBCs into subtypes (neutrophils, lymphocytes, monocytes, eosinophils, basophils) to identify specific health concerns.

Why Might Your Doctor Order This Test?

Doctors may request a CBC with differential to diagnose or monitor conditions like infections, anemia, blood cancers (e.g., leukemia), autoimmune diseases, or to check for signs of bleeding disorders or organ dysfunction.

How Is This Test Performed?

A small blood sample is drawn from a vein, usually in your arm. The sample is then analyzed in a lab to count and identify the different blood cell types using automated technology.

What Are Common Results and Their Implications?

Abnormal counts (e.g., high or low WBCs, RBCs, or platelets) may signal infections, diseases, or other health issues. For example, low RBCs might indicate anemia, while high WBCs could suggest infection or inflammation. Your doctor will interpret results in the context of your symptoms and medical history.

Reference range

Adult males: 4.2-5.9; Females: 3.8-5.1 x 10^12/LN/A

Specimen: whole-blood

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

CBC with Differential

Frequently asked questions

How often should I expect this test to be repeated?
A CBC with differential may be repeated based on your symptoms, treatment plan, or doctor’s recommendation. Frequency depends on why it was ordered initially—e.g., monthly for chronic conditions like anemia or weekly for monitoring severe infections.
What do my absolute neutrophil counts (ANC) mean?
Your absolute neutrophil count (ANC), a subset of WBCs, measures your body’s ability to fight bacterial infections. Low ANC may indicate neutropenia, which can increase infection risk. Your doctor will discuss results with you if they fall outside normal ranges.
Can I prepare for this test differently based on my age or health?
No special preparation is needed unless instructed by your doctor. For children, a pediatrician may use a different vein or a needle with less pressure. If you’re on blood thinners or have a history of clotting issues, your doctor may adjust your care around the test.
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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 17, 2026. · Read our editorial policy