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Protein in Urine (Quantitative, 24-Hour Collection)

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

This test measures the total amount of protein excreted in your urine over a full day. It helps assess kidney function and detect conditions like kidney disease or protein loss due to other health issues.

Quick summary

["A 24-hour urine protein test helps track kidney health and identify protein loss in urine."]

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

Key facts at a glance

LOINC
1928-1
Short code
U-LC
Synonyms
BJ Protein Ur Ql
Category
chemistry
Sample
urine
Container
Sterile, leak-proof urine container; preferably a 24-hour urine collection container with no preservatives, or a random urine cup for spot testing
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Immunofixation Electrophoresis (IFE), Immunoelectrophoresis, or Nephelometry
CPT
86335
SNOMED
39567008
Specimen volume
10-50 mL for random urine; complete 24-hour collection preferred
Stability
Ambient: 2 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 1 month. For light chain stability, refrigeration is preferred; avoid repeated freeze-thaw cycles.
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
24–72 hours
Order
routine

Why This Test Is Done

Your doctor may recommend this test if you have symptoms like swelling, frequent urination, or unexplained weight changes. It’s also used to monitor kidney disease, track responses to treatments, or check for conditions like nephrotic syndrome or glomerulonephritis.

What to Expect Before the Test

You’ll need to collect all urine for 24 hours, starting and ending with a sample at the same time each day. Store samples in a refrigerator and bring the full collection to your lab visit. Follow your doctor’s instructions carefully to ensure accurate results.

How the Test Works

The collected urine is analyzed to measure the total protein content. This involves separating proteins and quantifying them, often using methods like nephelometry or turbidimetry to detect and measure protein levels precisely.

What the Results Mean

Higher-than-normal protein levels in urine may indicate kidney damage, inflammation, or other conditions affecting protein filtration. Lower-than-normal levels might suggest dehydration or certain metabolic issues, but interpretation depends on your overall health and symptoms.

Reference range

Negative or undetectable light chains in urine. Normal individuals may excrete trace amounts of polyclonal free light chains (kappa and lambda). Bence Jones protein (monoclonal free light chains) should be absent.N/A

Specimen: urine

No special preparation required. A first morning void or 24-hour urine collection may be preferred to maximize sensitivity for detecting monoclonal light chains.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

24-Hour Urine Protein

Frequently asked questions

What causes elevated protein in urine?
Elevated protein in urine can result from kidney diseases (e.g., glomerulonephritis), diabetes, high blood pressure, or certain infections. It may also appear in conditions like lupus or other autoimmune disorders. Always discuss results with your doctor to determine the underlying cause.
How often should I get this test?
Your doctor will decide how often to repeat this test based on your medical history, symptoms, and treatment plan. Some patients need it monthly or annually, while others may need it less frequently. Follow their guidance closely.
Can diet or medications affect this test?
Yes, certain foods (like salt or protein-rich foods) and medications (e.g., nonsteroidal anti-inflammatory drugs) can influence urine protein levels. Avoid excessive salt intake and discuss medications with your doctor before testing to ensure accurate results.
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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