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Understanding Your Laboratory Test: What It Is, Why It's Needed, and What Your Results Mean

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

A manual microscopic examination of a blood sample to count monocytes and white blood cells, helping evaluate immune system function.

Quick summary

{"This test counts monocytes and white blood cells using a microscope manually","Abnormal results may indicate infections, blood disorders, or immune system problems","A small blood sample is needed and results are reviewed by laboratory professionals"}

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

Key facts at a glance

LOINC
29259-9
Short code
MONO
Synonyms
Abn Monocytes NFr Bld Manual
Category
chemistry
Sample
whole-blood
Container
Lavender top (K2-EDTA) tube or purple top EDTA tube
Units
N/A
Ref low
2
Ref high
8
Critical range
0.05 N/A – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
manual-count
CPT
85060
SNOMED
27981007
Specimen volume
2-3 mL whole blood (minimum 0.5 mL for pediatric samples)
Stability
Room temperature: 24-48 hours. Refrigerated (2-8°C): up to 72 hours. Do not freeze. Mix gently by inversion 8-10 times after collection.
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
1–24 hours
Order
routine

This test is a medical diagnostic procedure in which a sample, such as blood, urine, or another body fluid or tissue, is collected and analyzed in a laboratory to help your healthcare provider evaluate how your body is working and look for signs of illness.

The Monocyte and Leukocyte Manual Count is a laboratory test that uses a microscope to manually count monocytes (a type of white blood cell) and total white blood cells in your blood. Unlike automated counters, this manual method allows laboratory professionals to examine blood cells directly under a microscope for a more detailed evaluation.

Your doctor may order this test to help diagnose a medical condition, check how well an organ is working, monitor a disease you already have, or find out whether a treatment is effective. It can also be part of a routine checkup to screen for health problems before symptoms appear.

Your healthcare provider may order this test to: evaluate your immune system function, diagnose or monitor infections, detect blood disorders such as leukemia or anemia, investigate unexplained fever or inflammation, or follow up on abnormal results from automated blood counts.

The test is usually performed by a trained healthcare professional who collects a small sample, most often through a blood draw from a vein in your arm or from a urine sample. The collection typically takes only a few minutes, and the sample is then sent to a laboratory for analysis. You may be given specific instructions to follow beforehand, such as fasting for a certain number of hours.

A healthcare professional will draw a small blood sample from a vein in your arm. The sample is then processed in a laboratory where a trained technician places a thin layer of blood on a slide, stains it, and examines it under a microscope to count the monocytes and other white blood cells manually.

Your results are compared with a reference range, which is the set of values considered normal for healthy people. Results within that range generally suggest typical body function, while values that are higher or lower than expected may point to a condition that needs further evaluation. Your healthcare provider will explain what your specific results mean and whether any additional testing, monitoring, or treatment is recommended.

Results are reported as a percentage and absolute count of monocytes. High monocyte levels (monocytosis) may indicate chronic infections, inflammatory disorders, certain cancers, or recovery from an acute infection. Low levels (monocytopenia) may be seen with certain infections, bone marrow problems, or immunosuppressive conditions. Your healthcare provider will interpret your results in context with your overall health and other test findings.

This test is considered very safe. If you have a blood draw, you may feel a quick sting, and slight bruising, tenderness, or minor bleeding at the needle site is common. Some people feel briefly lightheaded during or after the draw. Serious complications are rare, but tell your healthcare provider if you have a bleeding disorder, take blood thinners, or notice ongoing pain, swelling, or signs of infection at the site.

This test involves a standard blood draw, which carries minimal risks including slight bruising, bleeding, or rarely, infection at the puncture site. These risks are generally minor and temporary.

Reference range

Monocytes: 2-8% of total leukocytes (0.20-0.80 x10^9/L). Reference ranges may vary slightly by laboratory. Values outside this range may indicate infection, inflammation, hematologic disorder, or other pathologic condition.N/A

Specimen: whole-blood

No special preparation required. Patient may eat and drink normally before specimen collection. Inform laboratory of any current infections, medications, or recent transfusions.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Do I need to fast before this test?
Typically, no fasting is required for this test. However, follow any specific instructions provided by your healthcare provider.
How long does it take to get results?
Results are usually available within 1-2 days, as the manual counting process takes more time than automated methods.
What can cause high monocyte counts?
High monocyte levels can be caused by chronic infections (like tuberculosis), inflammatory diseases (such as rheumatoid arthritis), certain cancers, or during recovery from acute infections.
What can cause low monocyte counts?
Low monocyte counts may occur with severe infections, certain medications that suppress bone marrow, or conditions that affect blood cell production.
Is this test different from a regular CBC?
Yes. A Complete Blood Count (CBC) is usually performed by automated machines. This manual test provides a more detailed examination and is often ordered when the automated results need confirmation or when a more thorough analysis is required.
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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