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Neutrophil count (absolute)

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

This test measures the number of neutrophils, a type of white blood cell, in your blood. Neutrophils help fight infections by attacking bacteria and other harmful invaders.

Quick summary

["Neutrophils are key defenders against bacterial infections; low or high levels may signal health concerns."]

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

Key facts at a glance

LOINC
71676-1
Short code
Neutrophils NFr.DF Bld Auto
Synonyms
Neutrophils NFr.DF Bld Auto
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
automated-count
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

This test measures the number of neutrophils in your blood, a type of white blood cell that helps your body fight infection. It is often part of a complete blood count (CBC) and helps your healthcare provider look for infections, inflammation, or bone marrow problems, and monitor treatments such as chemotherapy.

Doctors may order an absolute neutrophil count to diagnose or monitor conditions like infections, certain cancers (e.g., leukemia), autoimmune diseases, or after treatments that weaken the immune system. It’s also useful in evaluating bone marrow function or assessing risks of complications in hospitalized patients.

A small sample of your blood is drawn from a vein, usually in your arm, and sent to a laboratory. Special equipment counts the neutrophils in the sample, and the result is reported either as a percentage of your total white blood cells or as an absolute number per microliter of blood.

A small blood sample is taken from a vein, typically in your arm. The sample is analyzed to count the neutrophils accurately. This test provides a quick snapshot of your immune cell activity without needing specialized lab equipment.

Most people do not need special preparation for this test, and you can usually eat and drink normally beforehand. Be sure to tell your healthcare provider about any medications, vitamins, or supplements you take, since some can affect your results. Wearing a shirt with loose or rollable sleeves can make the blood draw easier.

No special preparation is needed for this test. You may have a slight bruise or soreness at the injection site, but it usually resolves quickly. If you’re on blood-thinning medications or have a bleeding disorder, let your doctor know before the test.

Your results will show whether your neutrophil level is within the normal range. A high count may suggest an infection, inflammation, or physical stress, while a low count may mean your body has a harder time fighting infection. Your provider will interpret your numbers together with your symptoms and other test findings.

Results are reported as a count of neutrophils per microliter (µL) of blood. While reference ranges vary by lab, very low counts (below normal) may indicate immune suppression, while very high counts could signal infections, inflammation, or other conditions. Your doctor will interpret results in the context of your overall health.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Absolute Neutrophil Count (ANC)

Frequently asked questions

What does a low neutrophil count mean?
A high neutrophil count, sometimes called neutrophilia, often means your body is fighting an infection or dealing with inflammation. It can also happen with stress, smoking, certain medications, or bone marrow conditions. Your healthcare provider will review your complete blood count and symptoms to determine the cause.
A high neutrophil count may signal an active infection, inflammation, or stress response in your body. It can also occur in conditions like chronic obstructive pulmonary disease (COPD) or certain cancers. Your doctor will review your medical history and other tests to understand the underlying reason.
Yes, in many cases this test can be done at home. A mobile phlebotomy or at-home lab service can send a trained professional to collect your blood sample, and some providers offer home collection kits. Your results should always be reviewed with your healthcare provider.
No, this test requires a blood sample collected by a healthcare professional in a clinical setting. At-home blood tests for complete blood counts (which include neutrophil counts) are available but are not the same as a lab-specific ANC measurement.
The frequency depends on your health condition and treatment plan. If you’re undergoing treatment for a chronic illness or cancer, your doctor may recommend regular monitoring. Otherwise, this test is usually done only when symptoms or other test results suggest it’s needed.
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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