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Neutrophil count (qualitative manual differential in whole blood)

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

This test evaluates the proportion of neutrophils, a type of white blood cell, in your blood using a manual microscopic count. It helps assess immune function and identify infections or inflammatory conditions.

Quick summary

["Neutrophils are key defenders against bacterial infections; abnormal counts may signal health concerns."]

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

Key facts at a glance

LOINC
12238-2
Short code
Neutrophils NFr Fld Manual
Synonyms
Neutrophils NFr Fld 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
CPT
86430
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

Doctors may order this test to diagnose or monitor conditions like infections (e.g., bacterial), inflammatory diseases, or blood disorders. It can also help evaluate responses to treatments or assess immune system function.

What to Expect Before the Test

No special preparation is needed. You may have a small needle inserted into your arm or hand to draw blood. If you’re nervous, let your healthcare provider know—they can help make it more comfortable.

How the Results Are Interpreted

Results are qualitative (not a single number) and compare your neutrophil proportion to expected ranges for healthy adults. High or low proportions may indicate infection, immune issues, or other health problems.

Common Conditions Linked to Neutrophil Levels

Elevated neutrophils often signal acute bacterial infections, stress, or inflammation. Low neutrophils may point to immune deficiencies, autoimmune diseases, or certain medications. Always discuss results with your doctor.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Neutrophils play a critical role in fighting bacterial infections. Their count helps doctors identify whether your immune system is responding to illness or if there’s an underlying condition affecting white blood cell production or function.

Short name

Neutrophil differential (manual)

Frequently asked questions

What does a manual neutrophil differential tell me about my health?
It provides a qualitative snapshot of your neutrophil proportion in blood, which can help pinpoint whether infections, inflammation, or other conditions may be affecting you. Your doctor will interpret it alongside your symptoms and other test results.
Is fasting required for this test?
No, fasting is not needed. This test involves drawing blood, similar to a routine blood draw, and no special diet is required.
How long will I have to wait for my results?
Results may be available the same day or within a few days, depending on your lab’s schedule. Your healthcare provider will explain the findings and next steps during your follow-up.
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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