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C-reactive protein (CRP) concentration, serum/plasma

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

This test measures the level of C-reactive protein, a protein produced by the liver in response to inflammation in your body.

Quick summary

["CRP helps identify inflammation, often used to monitor conditions like infections, autoimmune diseases, or after surgery."]

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

Key facts at a glance

LOINC
70665-5
Short code
COLDAGG
Synonyms
CA Ser Ql 18 deg C inc
Category
chemistry
Sample
serum
Container
Red-top serum tube (no anticoagulant) or serum separator tube (SST); pre-warmed tubes preferred to prevent cold adsorption
Units
N/A
Ref low
0
Ref high
1
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
deg-c-incubation
CPT
86156
SNOMED
4917004
Specimen volume
3-5 mL of whole blood yielding at least 1-2 mL of serum
Stability
Serum should be separated promptly and stored at 37°C if testing is to be performed the same day; if delayed, serum may be stored at 2-8°C for up to 7 days; for longer storage, freeze at -20°C or colder
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

Why Is This Test Done?

Your doctor may order CRP testing to check for signs of inflammation, monitor chronic conditions like arthritis or heart disease, or evaluate responses to treatments. It can also help diagnose infections or assess risks after procedures.

What Does a High or Low CRP Level Mean?

Elevated CRP levels often indicate inflammation or infection, but they can also be normal in some healthy individuals. Low levels may suggest reduced inflammation, but this isn’t always reliable on its own.

Sample Preparation and Testing Process

A blood sample is drawn, typically collected in a tube without additives (to separate serum or plasma). The sample is sent to a lab where it’s analyzed using a sensitive immunoassay method to measure CRP concentration accurately.

Common Conditions Monitored or Diagnosed With CRP

CRP is commonly used to track inflammation in conditions like rheumatoid arthritis, heart disease, or after surgeries. It may also help guide treatment decisions for infections or autoimmune disorders.

Reference range

Negative or titer <1:64 at 18°C; clinically significant cold agglutinins typically present at titers ≥1:64 or ≥1:256 depending on laboratory protocolN/A

Specimen: serum

No special patient preparation required. However, it is recommended that specimens be drawn and kept at 37°C during transport to prevent in vitro cold agglutinin adsorption and false-negative results. Avoid exposure of the specimen to cold temperatures.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

CRP

Frequently asked questions

What causes CRP levels to change?
CRP levels rise in response to infections, injuries, surgeries, or autoimmune diseases. Stress, certain medications, or even minor illnesses can also temporarily affect CRP. Smoking or obesity may influence baseline levels.
How soon after a trigger (like an infection) might CRP levels change?
CRP levels can begin to rise within hours to days after an inflammatory event. They typically peak within 24–72 hours and may take several days to return to normal, depending on the cause.
Can CRP levels be affected by diet or lifestyle?
While diet and lifestyle factors like exercise or smoking may influence overall health and inflammation, they don’t directly alter CRP levels in the same way as medical conditions or acute events. Your doctor will consider these factors when interpreting 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