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Mast Cell Count, Bone Marrow — Flow Cytometry

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

Flow cytometry measures the number and proportion of mast cells in a bone marrow sample to help evaluate mast cell disorders.

Quick summary

["This test measures mast cells in bone marrow and can help investigate unexplained mast-cell elevations or suspected systemic mastocytosis."]

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

Key facts at a glance

LOINC
101130-3
Short code
Masts NFr Mar FC
Synonyms
Masts NFr Mar FC
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
10
Ref high
40
Critical range
— – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
flow-cytometry
CPT
84484
SNOMED
302774002
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 is this test?

Mast cells are immune cells that release chemicals involved in inflammation and allergic reactions. This flow-cytometry test measures the number and percentage of mast cells in bone marrow.

Why might I need this test?

It may be ordered when symptoms or other laboratory findings raise concern for a systemic mast-cell disorder. It can also help clarify unexplained elevations in mast cells or support evaluation of certain allergic and inflammatory conditions.

How is the test performed?

A bone marrow sample is collected and tested with flow cytometry, which uses fluorescent markers to identify and count mast cells. The laboratory may report both a cell count and the proportion of marrow cells that are mast cells.

How do I prepare for the test?

There is usually no fasting requirement. Bone marrow collection is invasive, so follow the instructions provided by the collection team and tell the healthcare team about bleeding problems, blood-thinning medicines, or medication allergies.

Reference range

Adult: 10-40 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

An increased mast-cell count may occur with systemic mastocytosis and can also be associated with allergic conditions, parasitic infections, or other inflammatory processes. Results must be interpreted with the blood-cell findings, symptoms, examination, and sometimes additional tests such as serum tryptase. A lower-than-expected count is generally less clinically important but may be considered in the context of medications and other marrow findings.

Short name

Bone Marrow Mast Cell Count

Frequently asked questions

Does this test diagnose systemic mastocytosis?
Not by itself. An elevated mast-cell count can support the evaluation, but diagnosis may also require clinical findings and other laboratory tests.
Is a bone marrow test the same as a skin biopsy?
No. A skin biopsy examines tissue for abnormal mast-cell collections, while this test counts mast cells in a bone marrow sample.
Does the test require special preparation?
Fasting is usually unnecessary, but the collection team should explain the procedure and any precautions, particularly if you take blood-thinning medicines.
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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