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Lymphocyte Differential Count (Manual Blood Film Examination)

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

This test evaluates the types and proportions of white blood cells called lymphocytes in your blood, using a microscopic examination of a blood smear. It helps identify abnormalities in immune cell distribution.

Quick summary

["This test assesses immune cell balance and may help diagnose conditions affecting white blood cells."]

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

Key facts at a glance

LOINC
98022-7
Short code
Lymph Abn Fld Ql Manual
Synonyms
Lymph Abn Fld Ql Manual
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
manual-count
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

Why This Test Is Done

Your healthcare provider may order this test if you have symptoms like frequent infections, unexplained fatigue, or signs of immune system issues. It can also be used to monitor conditions like leukemia, lymphoma, or immune deficiencies.

What to Expect Before the Test

No special preparation is needed. You may have a small needle inserted into your arm to draw blood, similar to other blood tests. If you’re on blood thinners, let your provider know to avoid unnecessary bleeding.

What Happens During the Test

A healthcare professional will take a small blood sample and spread it thinly on a glass slide. A trained technician will then examine the slide under a microscope to count and classify different lymphocyte types.

What the Results Mean

Results show the percentage and absolute count of different lymphocyte subtypes (e.g., B cells, T cells, natural killer cells). Abnormal counts may indicate immune disorders, infections, or other blood-related conditions.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Manual Lymphocyte Count

Frequently asked questions

A lymphocyte differential helps diagnose immune-related diseases, such as chronic infections, autoimmune disorders, or cancers like lymphoma. It may also guide treatment decisions for conditions affecting white blood cell function.
This test is qualitative and not used for routine screening; it’s typically ordered when symptoms or clinical suspicion suggest an immune or blood disorder.
The results may take several days to process, depending on lab workload. Follow-up with your provider to discuss findings and next steps.
If you have a history of clotting disorders or take anticoagulants, your provider may adjust the test timing or use alternative methods to minimize risks.
This test does not require fasting or dietary restrictions, but inform your provider about any medications or supplements you’re taking that could affect blood counts.
No pain is expected during the blood draw, but you may feel a slight pinch. If you experience excessive bruising or swelling, contact your provider.
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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