diff --git a/Include/refcount.h b/Include/refcount.h
index ba34461fefcbb0..51346c7e519321 100644
--- a/Include/refcount.h
+++ b/Include/refcount.h
@@ -114,6 +114,8 @@ PyAPI_FUNC(Py_ssize_t) Py_REFCNT(PyObject *ob);
     }
     #if !defined(Py_LIMITED_API) || Py_LIMITED_API+0 < 0x030b0000
     #  define Py_REFCNT(ob) _Py_REFCNT(_PyObject_CAST(ob))
+    #else
+    #  define Py_REFCNT(ob) _Py_REFCNT(ob)
     #endif
 #endif
 
diff --git a/Misc/NEWS.d/next/C_API/2025-10-15-15-59-59.gh-issue-140153.BO7sH4.rst b/Misc/NEWS.d/next/C_API/2025-10-15-15-59-59.gh-issue-140153.BO7sH4.rst
new file mode 100644
index 00000000000000..502c48b6842d1c
--- /dev/null
+++ b/Misc/NEWS.d/next/C_API/2025-10-15-15-59-59.gh-issue-140153.BO7sH4.rst
@@ -0,0 +1,2 @@
+Fix :c:func:`Py_REFCNT` definition on limited C API 3.11-3.13. Patch by
+Victor Stinner.