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Monocyte and Macrophage Cell Count with Differential Analysis (Serum/Plasma Substance Concentration)

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

This test measures the levels of specific immune cells (monocytes and macrophages) in your blood, often analyzed alongside other white blood cell types to assess immune function or inflammation.

Quick summary

["Understanding your immune cell balance can help diagnose or monitor conditions affecting your immune system."]

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

Key facts at a glance

LOINC
32193-5
Short code
Monos+Macros Pcar Ql Micro
Synonyms
Monos+Macros Pcar Ql Micro
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
microscopy-light
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 This Test Measures

The test evaluates the concentration of monocytes and macrophages, which are types of white blood cells involved in immune responses. Monocytes circulate in the blood and can differentiate into macrophages, which play a key role in phagocytosis (engulfing and digesting pathogens and debris). Macrophages are also found in tissues and help regulate inflammation and immune reactions. This analysis may be part of a broader blood differential test.

Why It Might Be Ordered

Your healthcare provider may order this test to investigate symptoms such as persistent infections, unexplained fevers, autoimmune conditions, or to monitor immune-related treatments. It can also help assess conditions like chronic inflammation, certain cancers, or infections that affect immune cells.

Sample Collection and Preparation

A blood sample is typically drawn from a vein in your arm. The sample is processed to separate the blood components, and the serum or plasma is analyzed for the presence of monocytes and macrophages. This test does not require fasting and is usually done as part of a routine blood workup.

Common Conditions Monitored

Changes in monocyte and macrophage levels can indicate underlying health issues, such as infections, inflammatory diseases, or immune system disorders. For example, elevated levels might suggest chronic inflammation, while low levels could point to immune deficiencies or certain cancers.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated monocyte counts may signal chronic infections, autoimmune diseases, or inflammatory conditions like rheumatoid arthritis. Macrophage involvement can be critical in diagnosing conditions such as certain cancers (e.g., lymphoma) or chronic granulomatous diseases. Abnormal levels may prompt further investigation into immune function or systemic health.

Short name

None

Frequently asked questions

How long does it take to get results from this test?
Results are usually available within 24 to 48 hours, depending on your lab’s processing schedule. Your healthcare provider will discuss the findings with you during your follow-up visit.
What does it mean if my monocyte or macrophage levels are higher or lower than expected?
Higher levels may suggest ongoing inflammation, infection, or immune activation, while lower levels could indicate immune suppression, certain cancers, or other systemic health issues. Your provider will interpret these results in the context of your overall health and symptoms.
Can lifestyle changes, like diet or exercise, affect these test results?
While diet and exercise can influence overall immune function, they may not directly alter monocyte or macrophage levels in the blood. However, maintaining good health can support your immune system and may indirectly affect test results when monitoring chronic conditions.
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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