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Neutrophil Count (Manual Blood Cell Differential)

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.

Quick summary

["Neutrophils are key defenders against bacterial infections."]

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

Key facts at a glance

LOINC
68425-8
Short code
Neutrophils # Pcar Manual
Synonyms
Neutrophils # Pcar 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 This Test Might Be Ordered

Your healthcare provider may order this test to check for infections, inflammation, or other conditions that affect your immune system. It can also help diagnose or monitor certain blood disorders, such as leukemia or other cancers. Sometimes, it’s used to assess how your body responds to treatments for these conditions.

What to Expect Before the Test

You won’t need any special preparation for this test. A healthcare professional will take a small blood sample from a vein, usually in your arm. This is a quick and painless procedure, and you may feel a slight pinch or sting. The process usually takes a few minutes.

What the Test Results Mean

Neutrophil counts are typically reported as a percentage of your total white blood cell count or as an absolute number (count per microliter of blood). While reference ranges can vary by lab, a normal count is usually between 2,000 and 7,500 cells per microliter. However, your specific results will be interpreted by your healthcare provider based on your overall health and medical history.

Common Conditions Affecting Neutrophil Levels

High neutrophil counts (neutrophilia) may indicate infections, inflammation, or stress. Low neutrophil counts (neutropenia) can be linked to infections, autoimmune diseases, certain medications, or blood disorders. Your provider will discuss these findings with you in detail.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Neutrophil Count

Frequently asked questions

What does a high neutrophil count mean?
A high neutrophil count often suggests your body is responding to an infection, inflammation, or other stressor. For example, it may appear after a bacterial infection, during an immune response, or in conditions like rheumatoid arthritis. Your provider will consider other symptoms and test results to determine the cause.
What does a low neutrophil count mean?
A low neutrophil count can make you more susceptible to infections because these cells are crucial for fighting bacteria. Causes may include certain medications, autoimmune diseases, chemotherapy, or genetic conditions like Fanconi anemia. Your provider will investigate further to identify the underlying reason.
How often should I get this test?
The frequency of this test depends on your medical condition and treatment plan. If you have a chronic illness or are undergoing treatment, your provider may order it regularly to monitor your immune response. If you’re healthy, this test is usually not routinely recommended unless you have symptoms or risk factors for conditions affecting neutrophils.
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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