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Serum Creatinine Phosphokinase (CPK) Activity

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

This test measures the activity of Creatine Phosphokinase (CPK), an enzyme found in heart, skeletal muscle, and brain tissues. It helps assess muscle damage or heart-related conditions.

Quick summary

["CPK levels can signal muscle injury or heart stress."]

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

Key facts at a glance

LOINC
86713-5
Short code
OXA134PCR
Synonyms
blaOXA-134-like Islt/Spm Ql
Category
chemistry
Sample
serum
Container
Sterile, leak-proof container for bacterial isolate or clinical specimen; sterile transport medium (e.g., Amies or Stuart transport medium) for swab specimens; molecular-grade sterile tube for serum or body fluids.
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
molgen
CPT
87150
SNOMED
418820008
Specimen volume
1-2 mL of serum, body fluid, or tissue homogenate; or visible bacterial growth on culture media; minimum 0.5 mL for liquid specimens.
Stability
Serum specimens stable for 24 hours at 2-8°C; for extended storage, freeze at -70°C or below. Bacterial isolates stable for 7 days at 2-8°C. Transport to laboratory within 2 hours of collection at room temperature or refrigerated conditions.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–72 hours
Order
routine

What Is Creatine Phosphokinase (CPK)?

Creatine phosphokinase (CPK), also called creatine kinase, is an enzyme that helps produce energy in cells. It’s naturally present in heart, brain, and skeletal muscles. When these tissues are damaged—such as from injury, illness, or overexertion—their CPK levels rise in the bloodstream, making this test useful for detecting damage.

Why Might You Need This Test?

Doctors may order a CPK test to investigate symptoms like muscle weakness, pain, or heart issues. It can also help diagnose conditions like heart attacks, muscle disorders, or neurological problems.

Common Uses and Conditions

This test is often used alongside others to diagnose conditions like myocardial infarction (heart attack), muscular dystrophy, or stroke. Elevated CPK levels may also signal dehydration, severe exercise, or certain infections.

What to Expect Before the Test

No special preparation is needed, but avoid strenuous exercise or heavy lifting 24 hours before testing to get the most accurate results.

Reference range

Negative for blaOXA-134-like gene (carbapenem resistance gene not detected). Result reported as Detected, Not Detected, or Indeterminate.N/A

Specimen: serum

No special patient preparation required. Ensure specimen is collected prior to initiation of antimicrobial therapy when possible to maximize pathogen detection. Follow standard infection control precautions during specimen collection.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

CPK Serum

Frequently asked questions

How long does it take to get my CPK test results?
Results are typically available within 1–3 business days, depending on your lab’s processing time.
What does a high CPK level mean?
High CPK levels often signal muscle or heart damage, but they can also be influenced by factors like intense exercise, dehydration, or certain medications. Your doctor will discuss findings with you.
Can I take anything before my CPK test?
Avoid strenuous activity or heavy lifting 24 hours before testing, but otherwise, you can eat and drink normally.
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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