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Ammoniaplasscnc

Published: August 9, 2026Updated: August 17, 2026

A blood test that measures the level of ammonia in your plasma to evaluate liver function and detect certain metabolic disorders.

Quick summary

{"Measures ammonia levels in blood plasma","Helps diagnose liver disease and conditions affecting ammonia metabolism","Elevated levels may indicate liver dysfunction or genetic disorders","Fasting is typically required before the test","Smoking should be avoided before the test as it can affect results"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
16362-6
Short code
Ammonia Plas-sCnc
Synonyms
Ammonia Plas-sCnc
Category
chemistry
Sample
plasma
Container
Lavender-top (EDTA) or Green-top (Heparin)
Units
N/A
Critical range
— – 200 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

The ammonia blood test measures the amount of ammonia (NH3) in your plasma. Ammonia is a waste product produced when your body breaks down proteins. Normally, your liver converts ammonia into urea, which is then excreted by your kidneys. This test helps healthcare providers assess how well your liver is functioning and check for conditions that cause abnormal ammonia buildup.

Why is this test performed?

Your doctor may order an ammonia test if you have symptoms of liver disease such as jaundice (yellowing of skin or eyes), confusion, extreme tiredness, or swelling in the abdomen. It is also used to monitor patients with known liver disease, evaluate unexplained coma, and diagnose certain inherited metabolic disorders like urea cycle defects.

How to prepare for the test

Follow these important preparation steps: Fast (do not eat) for 8-12 hours before the test as instructed by your doctor. Avoid smoking before and during the test, as smoking significantly increases ammonia levels. Do not chew gum before the test. Inform your doctor about all medications you are taking, as some medications can affect test results. Rest and avoid strenuous exercise before the test, as physical activity can temporarily increase ammonia levels.

What happens during the test?

A healthcare professional will draw a blood sample from a vein in your arm using a small needle. You may feel a brief sting or pinch. The blood will be collected in a tube and sent to a laboratory for analysis. The collection process only takes a few minutes.

Understanding your results

Normal ammonia levels vary slightly by laboratory but are typically between 15-45 μmol/L (micromoles per liter). Your doctor will interpret your results based on your overall health and other test results. Elevated ammonia levels (hyperammonemia) can indicate liver disease, liver failure, hepatitis, cirrhosis, or certain metabolic disorders. Low levels are less common but may occur with certain genetic conditions or use of some medications.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Is the ammonia test painful?
You may feel a brief pinch or sting when the needle is inserted to draw blood. This discomfort is usually minimal and short-lived. After the needle is removed, you may have slight bruising or soreness at the puncture site.
How long does it take to get results?
Results are typically available within 1-2 days, though this may vary depending on the laboratory. Your healthcare provider will contact you with the results or discuss them at your follow-up appointment.
Can I eat before the ammonia test?
No, you should fast for 8-12 hours before the test as instructed by your doctor. Eating can affect your ammonia levels and lead to inaccurate results. You may drink water during the fasting period unless told otherwise.
Why is smoking prohibited before the test?
Smoking increases ammonia levels in the blood, which can lead to inaccurate test results. It is recommended to avoid smoking for at least several hours before the test. If you are a smoker, inform your healthcare provider.
What do high ammonia levels mean?
High ammonia levels (hyperammonemia) can indicate liver disease or dysfunction, including hepatitis, cirrhosis, or liver failure. It may also suggest a urea cycle disorder or be caused by certain medications, gastrointestinal bleeding, or severe infections. Your doctor will interpret the results in context of your other tests and symptoms.
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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 17, 2026. · Read our editorial policy