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What Is This Test? A Patient Guide to How the Sample Is Collected, Why It Is Ordered, and What Your Results May Mean

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

This test examines immune cells called activated T lymphocytes in a sample taken from the airways to help diagnose respiratory conditions.

Quick summary

{"The test analyzes immune cells from a bronchial sample to check for lung inflammation","Activated T cells indicate the immune system is responding to an infection or condition","Results help doctors diagnose asthma, bronchitis, or other lung diseases","The sample is collected during a bronchoscopy procedure","Results are interpreted alongside other clinical findings"}

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

Key facts at a glance

LOINC
57461-6
Short code
ACT-T-CELL-BRONC
Synonyms
Activ T Lymphs NFr Bronch
Category
chemistry
Sample
serum
Container
Sterile collection container for bronchial specimens (bronchoalveolar lavage or bronchial washings)
Units
N/A
Ref low
5
Ref high
15
Fasting
false
Population
adult
Sex
all
Age range
≥ 18 years
Method
Flow cytometry immunophenotyping
CPT
86355
SNOMED
122442004
Specimen volume
10-50 mL depending on collection method
Stability
Process within 2-4 hours of collection. If delay expected, store at 2-8°C. Do not freeze.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

This is a laboratory test that measures specific substances in a sample from your body. Your healthcare provider may order it to check how well your organs are working, look for signs of illness, confirm or rule out a suspected condition, or monitor a problem that is already being treated.

The Activated T Cells/Lymphocytes test measures the number and activity of specific immune cells called T lymphocytes (T cells) in a sample collected from the bronchial airways. T cells are a type of white blood cell that plays a key role in the body's immune response. When these cells are 'activated,' it means they are actively fighting an infection, allergen, or other trigger.

A trained healthcare professional usually collects the sample in a clinic, hospital, or laboratory. Depending on what your provider has ordered, this may involve drawing a small amount of blood from a vein in your arm with a needle, collecting a urine sample, or taking a gentle swab from the affected area. The procedure is typically quick, and most people can go home right afterward and return to their normal activities.

This test requires a bronchial specimen, which is collected during a procedure called bronchoscopy. During bronchoscopy, a thin tube with a camera (bronchoscope) is inserted through the nose or mouth and down into the airways. The doctor may collect small samples of cells, fluid, or tissue from the bronchial tubes for laboratory analysis.

Your provider orders this test to gather objective information about your health. It can be used as part of a routine checkup, to investigate symptoms you have been experiencing, to establish a baseline before starting a new medication, or to follow your progress over time and see whether your current treatment plan is working as expected.

This test helps doctors understand what is causing respiratory symptoms such as chronic cough, wheezing, shortness of breath, or persistent bronchitis. By examining the types and numbers of immune cells present, healthcare providers can determine if the airways are inflamed due to an allergic reaction, infection, autoimmune condition, or other lung disease.

Results are compared with established reference ranges to see whether they fall within the expected values for a healthy person. A result within the normal range generally suggests no evidence of the condition being tested for, while an abnormal value does not automatically mean you are ill, since many factors such as diet, medications, hydration, and recent activity can influence the numbers. Your healthcare provider will review the full picture, including your symptoms, medical history, and any other test results, explain what your values mean for you personally, and recommend any follow-up testing or next steps that may be needed.

Elevated levels of activated T cells in the bronchial specimen may indicate that the airways are inflamed due to conditions such as asthma, chronic bronchitis, or an infection. Normal or low levels may suggest that symptoms are caused by something other than immune-mediated inflammation. Your doctor will interpret these results together with your symptoms, medical history, and other test results.

Reference range

Reference range varies by laboratory methodology and patient population. Typically, activated T cells represent 5-15% of total lymphocytes in bronchial specimens. Clinical correlation is essential for interpretation.N/A

Specimen: serum

No special preparation required. Patient should inform healthcare provider of current medications, especially immunosuppressants or corticosteroids that may affect lymphocyte activation.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Activated T cell analysis in bronchial specimens is primarily used to evaluate chronic respiratory conditions. In asthma, elevated activated T cells indicate allergic or eosinophilic inflammation of the airways. In chronic bronchitis, this test can help distinguish between inflammatory and non-inflammatory causes of symptoms. It may also be useful in detecting certain infections, autoimmune lung diseases, or in monitoring response to anti-inflammatory treatments. The results assist healthcare providers in making accurate diagnoses and developing appropriate treatment plans.

Frequently asked questions

Is the bronchoscopy procedure painful?
Bronchoscopy is generally well-tolerated. You will receive sedation and local anesthesia to minimize discomfort. Most patients experience only mild throat irritation or cough afterward. Serious complications are rare but can include bleeding or pneumothorax (collapsed lung).
How long does it take to get results?
Laboratory analysis of bronchial specimens typically takes several days to a week, depending on the specific tests performed. Your healthcare provider will contact you with results once they are available.
Do I need to prepare anything before the test?
You will receive specific instructions from your healthcare provider. Generally, you should fast (not eat or drink) for several hours before the procedure. You should also inform your doctor about any medications you are taking, as some may need to be temporarily stopped.
Can this test diagnose cancer?
While this specific test focuses on activated T cells, the bronchial specimen collected during bronchoscopy can also be examined for abnormal cells that might indicate cancer. Your doctor may order additional tests if cancer is suspected.
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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