White Blood Cell Differential (Other Fluids) – Qualitative
This test evaluates the types and proportions of white blood cells (WBCs) present in body fluids other than blood, such as cerebrospinal fluid (CSF) or pleural fluid, to help identify infections, inflammation, or other conditions.
["This test helps doctors diagnose and guide treatment for conditions affecting fluids outside the bloodstream."]
Key facts at a glance
- LOINC
- 26473-9
- Short code
- WBC Other NFr Fld
- Synonyms
- WBC Other NFr Fld
- Category
- chemistry
- Sample
- serum
- Container
- Red-top tube (SST)
- Units
- N/A
- Ref low
- 4.5
- Ref high
- 11
- Critical range
- 2 N/A – 30 N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- CPT
- 85004
- SNOMED
- 900000000000003002
- 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 if you have symptoms like fever, persistent pain, swelling, or unusual fluid buildup in areas like the brain, lungs, or joints. It can also be part of investigations for unexplained infections, autoimmune diseases, or conditions causing abnormal fluid accumulation.
What to Expect Before the Test
No special preparation is typically needed. If fluid is collected from a specific site (like CSF), you may experience mild discomfort during the procedure. Follow any instructions your doctor gives for avoiding medications or foods that could affect results.
How the Test Is Performed
A healthcare provider collects fluid (e.g., from a spinal tap, joint aspiration, or other drainage) and sends it to the lab. Microscopic examination identifies and counts different types of white blood cells (neutrophils, lymphocytes, eosinophils, basophils, monocytes) based on their appearance.
Possible Results and Interpretation
Results are qualitative (descriptive rather than numeric) and compare the proportions of WBC types to typical patterns. For example, high numbers of neutrophils may suggest infection, while high lymphocytes could indicate a viral infection or autoimmune response. Your doctor will interpret results in the context of your symptoms and medical history.
Reference range
Adult: 4.5-11.0 x 10^9/LN/A
No special preparation required. Stay well hydrated.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
Clinical Significance
Short name
WBC Differential in Other Fluids
Frequently asked questions
What does a high or low proportion of certain WBC types mean?
How long will I need to wait for results?
Can I eat or drink anything before this test?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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