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White Blood Cell Differential (Manual Count)

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

This test measures the types and proportions of white blood cells in your blood, helping identify infections, immune responses, or other conditions affecting your blood cells.

Quick summary

["Your blood’s white blood cell types can signal health issues or infections."]

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

Key facts at a glance

LOINC
810-2
Short code
WBC # Prt Manual
Synonyms
WBC # Prt Manual
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
Method
manual-count
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 Matters

White blood cells (WBCs) are key to fighting infections and maintaining immune health. This manual method counts five main types: neutrophils, lymphocytes, monocytes, eosinophils, and basophils. Each type plays a distinct role in your body’s defense.

How the Test Works

A healthcare professional examines a sample of your blood under a microscope. They count each type of white blood cell and calculate their percentages, providing a detailed picture of your immune system’s activity.

Common Uses

Doctors use this test to diagnose infections (like bacterial or viral), check immune disorders, evaluate blood disorders (e.g., leukemia), or monitor treatments for conditions affecting white blood cells.

What to Expect

You may receive this test as part of a routine blood draw. Results are typically ready within a few days, depending on lab processing. Follow-up may include additional tests or discussions with your provider.

Reference range

Adult: 4.5-11.0 x 10^9/LN/A

Specimen: serum

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal counts of specific white blood cells can indicate underlying health problems. For example, high neutrophil counts may signal infection, while low lymphocyte counts could point to immune suppression. Always discuss results with your healthcare provider for personalized insights.

Short name

WBC Differential (Manual)

Frequently asked questions

What causes a manual WBC differential test?
A manual WBC differential test is often ordered when doctors suspect an infection, immune disorder, or blood-related condition. It may also be used to monitor chronic illnesses or before certain treatments that affect white blood cells.
How long does it take to get results from this test?
Results from a manual WBC differential test typically take 2–5 business days, depending on lab workflows. Your provider will contact you once results are available.
Can I eat or drink before this test?
No special preparation is needed for this test. However, inform your provider about any medications or conditions that might affect your blood counts, such as infections or recent treatments.
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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