Skip to content

White Blood Cell Differential with Absolute Counts (Quantitative)

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

This test measures the types and amounts of white blood cells in your blood, including neutrophils, lymphocytes, monocytes, eosinophils, and basophils, along with their total count.

Quick summary

["Understanding your immune cell makeup helps doctors diagnose infections, inflammation, or blood disorders."]

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

Key facts at a glance

LOINC
42327-7
Short code
WBC Stl Ql MB Stn
Synonyms
WBC Stl Ql MB Stn
Category
chemistry
Sample
stool
Container
Clean container
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
methylene-blue-stain
CPT
85004
SNOMED
900000000000003002
Specimen volume
5 g
Stability
Refrigerated: 24h, Frozen: 7d
TAT
4–24 hours
Order
routine

Why This Test Matters

White blood cells (WBCs) are crucial for fighting infections and inflammation. This test helps identify imbalances that may signal conditions like infections, allergies, autoimmune diseases, or blood cancers.

Types of White Blood Cells Measured

The test breaks down WBCs into five main types: neutrophils (most common, fighting bacteria), lymphocytes (immune response), monocytes (long-term infection fighters), eosinophils (allergies/infections), and basophils (rare, linked to allergies or inflammation).

How the Test Works

A small blood sample is drawn and analyzed to count and classify each WBC type. Advanced machines separate and measure each cell type automatically.

Common Reasons for Testing

Doctors may order this test if you have symptoms like frequent infections, unexplained fevers, fatigue, or signs of blood disorders. It’s also used to monitor conditions like leukemia or chronic infections.

Reference range

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

Specimen: stool

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal counts can indicate infections (e.g., high neutrophils), immune disorders (e.g., low lymphocytes), or blood cancers (e.g., high blasts in immature cells). For example, a low total WBC count may mean your body struggles to fight infections, while elevated eosinophils could signal allergies or parasitic infections.

Short name

WBC Differential

Frequently asked questions

What Does a High or Low WBC Count Mean?
A high WBC count may signal an infection, inflammation, or stress response, while a low count could indicate immune suppression, bone marrow disorders, or severe illness. Your doctor will interpret results in the context of your symptoms and medical history.
How Long Does It Take to Get Results?
Results are typically available within 1 to 2 business days, depending on lab processing times. Your doctor will discuss findings with you during your follow-up visit.
Can I Eat or Drink Before This Test?
No special preparation is needed. You can eat and drink normally before your blood draw. However, inform your doctor about any medications or supplements you’re taking, as they may affect results.
  1. 1
  2. 2
  3. 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.

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