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24-Hour Urinary Ceruloplasmin

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

This test measures the amount of ceruloplasmin, a copper-binding protein found in urine, over a 24-hour period. It helps assess copper metabolism and detect conditions like Wilson’s disease.

Quick summary

["Ceruloplasmin helps identify copper-related disorders by tracking urinary copper excretion over time."]

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

Key facts at a glance

LOINC
102090-8
Short code
UCP24
Synonyms
Ceruloplasmin 24h Ur-mCnc
Category
chemistry
Sample
urine
Container
24-hour urine collection container with preservative (typically thymol or no preservative if refrigerated)
Units
N/A
Ref low
18
Ref high
60
Fasting
false
Population
adult
Sex
all
Age range
1–99 years
Method
Immunonephelometry or Immunoturbidimetry
CPT
82390
SNOMED
103332007
Specimen volume
10 mL aliquot from well-mixed 24-hour collection; total volume should be recorded
Stability
Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days; Avoid repeated freeze-thaw cycles
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
24–72 hours
Order
routine

Why Is This Test Done?

Your doctor may order this test if you have symptoms of copper-related disorders, such as liver problems, neurological issues, or unexplained fatigue. It’s also used to monitor copper levels in people with known genetic conditions affecting copper metabolism.

You’ll collect all your urine over a full 24-hour period, typically starting after you urinate at midnight on one day. The collected urine is then sent to the lab for analysis.

No special preparation is usually needed, but you should avoid certain medications or foods that might interfere with results, like copper supplements or high-copper foods.

Higher-than-expected levels might indicate copper overload, while lower levels could suggest copper deficiency or metabolic disorders. Your doctor will interpret results in the context of your symptoms and medical history.

This test helps diagnose or monitor conditions like Wilson’s disease, a rare genetic disorder causing copper buildup in the body, or other copper metabolism disorders.

Common Conditions Linked to This Test

Wilson’s disease, copper overload syndromes, hereditary hemochromatosis (though less commonly), or unexplained copper-related liver or neurological symptoms.

Reference range

18-60 mg/24h (values may vary by laboratory and analytical method)N/A

Specimen: urine

No special preparation required. Patient should maintain usual diet and hydration. Avoid excessive exercise during collection period.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Ceruloplasmin in urine reflects how well your body is processing copper. Abnormal levels may signal metabolic imbalances that require medical attention, such as liver dysfunction or genetic disorders.

Short name

24h Urine Ceruloplasmin

Frequently asked questions

Why do I need a 24-hour urine test instead of a single blood test?
A 24-hour urine test captures the full daily excretion of ceruloplasmin, giving a more accurate picture of your body’s copper metabolism. Single blood tests only show a snapshot at one moment in time.
What foods or medications could affect my results?
Avoid high-copper foods (like shellfish, organ meats, or nuts) and copper supplements for at least 48 hours before testing. Some medications, like certain diuretics or antibiotics, may also influence results—ask your doctor for guidance.
How long will I have to wait for my results?
Results are typically ready within 1–2 weeks, depending on lab processing times. Your doctor will discuss them with you during your follow-up visit.
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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