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Mononuclear Cell Differential Count (Manual Count)

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

This test measures the number of specific white blood cells called mononuclear cells in your blood, which include lymphocytes and monocytes. These cells play key roles in your immune response.

Quick summary

This test helps assess immune function and identify potential blood disorders.

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

Key facts at a glance

LOINC
71629-0
Short code
Mononuc Cells NFr.DF Prt Manual
Synonyms
Mononuc Cells NFr.DF Prt 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 Is This Test Done?

Your healthcare provider may order this test to evaluate your immune system, check for infections, or diagnose conditions like leukemia, lymphoma, or immune deficiencies. It can also help monitor treatments for blood disorders.

What Does the Test Involve?

A blood sample is drawn from a vein, typically in your arm. The sample is then examined under a microscope by a trained technician to count the mononuclear cells manually, rather than using automated equipment.

What Are Mononuclear Cells?

Mononuclear cells are a type of white blood cell that includes lymphocytes (which help fight infections) and monocytes (which develop into macrophages to clean up debris and pathogens). These cells are part of your body’s immune defense system.

How Is the Test Performed?

After drawing your blood, the sample is spread thinly on a microscope slide. A technician carefully examines the slide under a microscope, counting the mononuclear cells in a set area to determine their concentration.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal levels of mononuclear cells can indicate various health issues. For example, a low count might suggest immune deficiencies or certain infections, while a high count could point to chronic inflammation, autoimmune diseases, or certain cancers. This test helps guide treatment decisions and monitor disease progression.

Short name

Manual Mononuclear Cell Count

Frequently asked questions

What does a high or low mononuclear cell count mean?
A high count may suggest chronic inflammation, infections, or certain immune disorders. A low count could indicate immune suppression, certain blood disorders, or prolonged stress on the immune system.
How long does it take to get results?
Results are typically available within 24 to 48 hours, depending on lab processing times and any additional testing required.
The blood draw itself may cause mild discomfort or soreness at the injection site, but the manual counting process itself is not painful. Most people find the discomfort brief and manageable.
No special preparation is needed for this test. You can eat, drink, and go about your normal activities as usual before your appointment.
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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