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C-reactive protein (CRP) with 24-hour urinary excretion rate measurement

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

This test measures how much of the CRP protein appears in your urine over 24 hours, which can help assess inflammation or kidney function.

Quick summary

["CRP in urine helps track kidney health and inflammation over time."]

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

Key facts at a glance

LOINC
90737-8
Short code
PNH-N
Synonyms
CD24-FLAER- cells/CD15 NFr Bld
Category
chemistry
Sample
whole-blood
Container
EDTA (lavender/purple-top) tube
Units
N/A
Ref low
98
Ref high
100
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Flow cytometry using fluorescent aerolysin (FLAER) and fluorochrome-conjugated antibodies against CD24 and CD15
CPT
86356
SNOMED
44475005
Specimen volume
3-5 mL whole blood (minimum 1 mL for pediatric samples)
Stability
Refrigerated (2-8°C): up to 48 hours. Do not freeze. Specimens should be processed within 24-48 hours of collection for optimal results
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
24–72 hours
Order
routine

Why CRP in Urine Matters

CRP (C-reactive protein) is a marker produced by your body in response to inflammation. While CRP in blood is commonly checked, measuring its urinary excretion can provide additional insight into how your kidneys process proteins and whether inflammation is affecting your urinary system.

What This Test Measures

This test quantifies the amount of CRP released into your urine over a full day. Elevated urinary CRP may indicate kidney issues, such as proteinuria (excess protein in urine), or systemic inflammation that your kidneys are filtering.

Common Causes of Abnormal Results

Higher-than-normal urinary CRP levels may be linked to kidney diseases (e.g., glomerulonephritis), certain infections, or conditions causing widespread inflammation. Lower-than-expected levels might suggest impaired kidney function or medications affecting protein excretion.

When You Might Need This Test

Your doctor may order this test if you have symptoms like persistent protein in urine, kidney-related concerns, or if you’re being monitored for chronic inflammation or kidney disease.

Reference range

≥98% of neutrophils normally express CD24 and bind FLAER. Decreased CD24-FLAER expression on neutrophils (typically <98%) is suggestive of paroxysmal nocturnal hemoglobinuria (PNH) or PNH cloneN/A

Specimen: whole-blood

No fasting required. Avoid recent blood transfusion within 24-48 hours if possible, as donor cells may affect results. Inform laboratory of any recent transfusion history

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

CRP Urine Rate

Frequently asked questions

How often will I need to provide a urine sample for this test?
You’ll need to collect all urine for a full 24-hour period in a special container provided by your lab. This ensures an accurate measurement of CRP excretion over time.
Will fasting be required before this test?
No fasting is needed, but avoid certain medications (e.g., NSAIDs) that may affect inflammation markers. Follow your doctor’s specific instructions.
What are the typical reference ranges for this test?
Reference ranges vary by lab and clinical context. Your doctor will interpret results in relation to your overall health and symptoms. Abnormal values may prompt further evaluation.
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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