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Neutrophil count with differential (absolute neutrophil count, or ANC)

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 invaders.

Quick summary

["Neutrophils are key to your immune response; low or high levels may signal infection, inflammation, or other health issues."]

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

Key facts at a glance

LOINC
112056-7
Short code
Site Mnr ppl Endscpy
Synonyms
Site Mnr ppl Endscpy
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
endoscopy
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 Neutrophils Do in Your Body

Neutrophils are a type of white blood cell that play a critical role in defending your body against infections caused by bacteria. They move quickly to areas where bacteria are present and release chemicals to destroy them. This process helps prevent infections from spreading and keeps you healthy.

How Neutrophils Are Measured

The test measures the absolute count of neutrophils in your blood sample. This is done by examining a small amount of blood under a microscope or using an automated blood cell counter. The result helps healthcare providers assess your immune function and identify potential issues like infections or other conditions.

When This Test Might Be Ordered

Your healthcare provider may order this test if you have symptoms like frequent or severe infections, unexplained fever, fatigue, or if you’re undergoing treatment for conditions that can affect your immune system, such as chemotherapy or certain autoimmune diseases.

Possible Results and What They Mean

Results can vary based on your health and medical history. A lower-than-normal neutrophil count may indicate an infection, bone marrow disorder, or certain medications that suppress the immune system. A higher-than-normal count might suggest inflammation, infection, or other conditions like leukemia.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Absolute Neutrophil Count (ANC)

Frequently asked questions

Why might my neutrophil count be checked?
Your healthcare provider may check your neutrophil count to monitor your immune system, diagnose infections, evaluate treatments for blood disorders, or assess conditions like cancer or autoimmune diseases that can affect white blood cell production.
What does a low neutrophil count mean?
A low neutrophil count (often called neutropenia) can mean your body has trouble fighting off infections. This may happen due to infections, certain medications, or conditions that affect your bone marrow. It’s important to discuss symptoms like frequent infections or fatigue with your provider.
What does a high neutrophil count mean?
A high neutrophil count may signal an active infection, inflammation, or other health issues like cancer. If you notice persistent symptoms like fever, swelling, or unexplained weight changes, talk to your healthcare provider to explore further testing or treatment options.
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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