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Complete Blood Count with Differential (CBC with Differential)

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

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

Quick summary

["It helps assess overall health, detect infections, anemia, or blood disorders."]

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

Key facts at a glance

LOINC
6291-9
Short code
iC3b Recep WBC Ql
Synonyms
iC3b Recep WBC Ql
Category
coagulation
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
4.5
Ref high
11
Critical range
2 N/A – 30 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85004
SNOMED
900000000000003002
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What Does Each Blood Cell Type Represent?

Your white blood cells (WBCs) are part of your immune system. A CBC with differential helps identify which types of WBCs are present, such as neutrophils (which fight infections), lymphocytes (which help with long-term immunity), monocytes (which clean up debris), eosinophils (which respond to allergies or parasites), and basophils (which release chemicals during allergic reactions). Abnormal counts can signal infections, inflammation, or immune system issues.

Red Blood Cells and Hemoglobin

Red blood cells (RBCs) carry oxygen to your body’s tissues. A CBC measures their number, size, and shape, as well as hemoglobin (the protein that binds oxygen). Low RBC counts or hemoglobin levels may indicate anemia, while unusual RBC shapes could suggest conditions like sickle cell disease or other blood disorders.

Platelets: Clotting and Bleeding Risks

Platelets are small cells that help your blood clot. A CBC counts them to check for bleeding disorders or excessive clotting. Low platelet counts can increase bleeding risk, while high counts may raise the risk of clots.

Why Might This Test Be Ordered?

Doctors order a CBC with differential for routine check-ups, to diagnose infections (like pneumonia or urinary tract infections), evaluate anemia, monitor chronic conditions (such as kidney disease or cancer), or check for signs of blood disorders or immune system problems.

Reference range

Adult: 4.5-11.0 x 10^9/LN/A

Specimen: serum

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

What Does a ‘Differential’ Mean in This Test?
The ‘differential’ part of the CBC means your blood sample is examined under a microscope to count and identify the different types of white blood cells. This helps pinpoint whether an infection, inflammation, or other condition is affecting your immune system.
How Often Should I Get This Test?
The frequency depends on your health. Routine adults may get it every few years, while those with chronic conditions (like diabetes or heart disease) may need it more often. Your doctor will determine how often you should have it based on your needs.
Can I Eat or Drink Before This Test?
For most CBC tests, you can eat and drink normally. However, if your doctor specifies fasting for another test, follow their instructions. Avoid smoking or excessive caffeine before the test, as it may affect your blood results.
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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