Search all medical codes

T cells; total count

CPT4 code

Name of the Procedure:

T Cells; Total Count
Common Name(s): T-cell count, Total T-lymphocyte count
Technical Term: Total T-cell enumeration

Summary

A T-cell count measures the number of T-lymphocytes (a type of white blood cell vital for the immune system) in a blood sample. This test helps assess the health of a person's immune system, especially in conditions like HIV/AIDS, where T-cell levels are crucial indicators of immune function.

Purpose

The T-cell count is used to:

  • Monitor immune system health, particularly in patients with HIV/AIDS.
  • Help diagnose and manage certain immune system disorders and cancers.
  • Track the effectiveness of treatments affecting the immune system.

    Indications

  • Suspected or diagnosed HIV/AIDS.
  • Chronic infections suggesting immune system dysfunction.
  • Autoimmune diseases.
  • Patients undergoing treatments such as chemotherapy, which may affect immune function.

Preparation

  • No fasting required.
  • Inform the healthcare provider about any medications or supplements being taken.
  • Diagnostic tests like complete blood count (CBC) or additional immune function tests may be ordered.

Procedure Description

  1. Blood Sample Collection:
    • A healthcare provider will clean the skin area, usually inside the elbow.
    • A needle is inserted into a vein to draw the blood sample.
  2. Laboratory Analysis:
    • The blood sample is sent to a lab.
    • Using flow cytometry, the number and types of T-cells (CD4 and CD8 cells) are counted.

Duration

  • Blood draw: typically 5-10 minutes.
  • Lab analysis: a few hours to a few days, depending on the lab.

Setting

  • Performed in laboratories, clinics, hospitals, or outpatient facilities.

Personnel

  • Performed by phlebotomists, nurses, or medical technologists.
  • A laboratory technician or technologist analyzes the sample.

Risks and Complications

  • Minor bruising or bleeding at the injection site.
  • Rare risk of infection or fainting during blood draw.

Benefits

  • Provides essential information on immune system health.
  • Helps guide treatment for conditions like HIV/AIDS and immune disorders.
  • Early detection and management of potential immune system issues.

Recovery

  • Minimal to no recovery time needed.
  • Keep the bandage on the puncture site for a few hours.
  • Follow any specific post-procedure instructions given by the healthcare provider.

Alternatives

  • Detailed immune function tests.
  • Alternative methods to assess immune health, like a complete blood count (CBC), although they may not provide as detailed information on T-cells.
  • Pros: Simplicity and quick results of T-cell count.
  • Cons: Alternative tests might offer broader information about overall immune function but may lack specificity.

Patient Experience

  • During: Slight discomfort or sting when the needle is inserted.
  • After: Minor soreness or bruising at the puncture site.
  • Pain management: Usually minimal discomfort requiring no specific pain management; applying a cool compress can help with soreness.

Medical Policies and Guidelines for T cells; total count

Related policies from health plans

Similar Codes