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C-reactive protein (high-sensitivity) in serum/plasma

Published: August 9, 2026Updated: August 15, 2026

This test measures a protein produced by the liver in response to inflammation, helping assess low-grade inflammation in the body.

Quick summary

["hs-CRP helps track inflammation, aiding in risk evaluation for heart disease and other conditions."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
72318-9
Short code
CENPA
Synonyms
CENP A IgG SerPl Ql IA
Category
chemistry
Sample
serum
Container
Serum Separator Tube (SST, gold-top) or Red-Top (no additive) tube; alternatively, plasma collected in EDTA (lavender-top), Heparin (green-top), or Citrate (light blue-top) tubes per assay-specific requirements.
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–99 years
Method
Immunoassay (e.g., Enzyme-Linked Immunosorbent Assay - ELISA, Chemiluminescent Immunoassay - CLIA, or Multiplex Bead-Based Assay)
CPT
83520 (Immunoassay, analyte, quantitative, not otherwise specified) or 86255 (Antibody screen, each antibody identification) depending on payer and reporting format.
SNOMED
417530003 | Anti-centromere antibody measurement (procedure)
Specimen volume
1.0 mL serum or plasma (minimum 0.5 mL).
Stability
Room temperature: 8 hours. Refrigerated (2–8°C): 7 days. Frozen (-20°C or below): 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
24–72 hours
Order
routine

Why Is This Test Done?

Your doctor may order hs-CRP to evaluate inflammation, especially if you have risk factors for cardiovascular disease, autoimmune conditions, or chronic illnesses like diabetes. It can also help monitor treatment effectiveness for inflammatory diseases.

What Does a High or Low Result Mean?

A higher-than-normal hs-CRP level suggests increased inflammation, which may indicate conditions like infections, autoimmune disorders, or cardiovascular risks. A lower level generally means reduced inflammation, though it doesn’t rule out all causes.

Common Conditions Monitored

hs-CRP is often used alongside other tests to assess risk for heart attacks, strokes, or progression of conditions like rheumatoid arthritis or lupus. It’s not a standalone diagnosis but supports overall health assessments.

Sample Preparation Tips

For this test, blood is drawn into a tube that separates serum or plasma. Avoid strenuous activity or eating heavy meals 12 hours before testing to ensure accurate results.

Reference range

Negative: Antibodies to centromere protein A (CENP-A) IgG not detected. Positive: Antibodies to CENP-A IgG detected. Results are reported qualitatively as Positive or Negative based on the assay-specific cut-off value.N/A

Specimen: serum

No special patient preparation is required prior to specimen collection. Fasting is not necessary.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Inflammation as a Marker

Short name

hs-CRP

Frequently asked questions

What causes elevated hs-CRP levels?
Elevated hs-CRP can result from infections, injuries, certain medications, or chronic conditions. It’s not specific to one cause, so results should be interpreted with other clinical findings.
Can lifestyle changes affect hs-CRP?
Yes, diet, exercise, and weight management can influence inflammation levels. Reducing processed foods, smoking, and improving overall health may lower hs-CRP over time.
Is hs-CRP the same as a general CRP test?
No, hs-CRP is a more sensitive version that detects smaller amounts of inflammation, making it useful for early risk assessment compared to standard CRP.
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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 15, 2026. · Read our editorial policy