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C-reactive protein (CRP) by nephelometry

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

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

Quick summary

["CRP helps identify and monitor inflammation, often used to check for infections, autoimmune conditions, or other inflammatory diseases."]

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

Key facts at a glance

LOINC
82297-3
Short code
CHIKVG
Synonyms
CHIKV E1+E2 IgG Ser Ql IA
Category
chemistry
Sample
serum
Container
Serum separator tube (SST, gold-top or tiger-top) preferred; alternatively, red-top plain tube. Allow specimen to clot fully (30 minutes) before centrifugation.
Units
N/A
Ref low
10
Ref high
14
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
Immunoassay (typically enzyme-linked immunosorbent assay [ELISA] or chemiluminescent immunoassay [CLIA]) detecting IgG antibodies directed against Chikungunya virus envelope glycoproteins E1 and E2 structural proteins
CPT
86790
SNOMED
122548000
Specimen volume
1.0 mL serum minimum; 0.5 mL acceptable for pediatric or limited samples. Collect 3-5 mL whole blood to yield adequate serum.
Stability
Serum stable at 2-8°C for up to 7 days. For extended storage, freeze at -20°C or below for up to 6 months. Avoid repeated freeze-thaw cycles. Ship on cold packs or dry ice depending on transit duration.
Hemolysis max
100
Lipemia max
200
Icterus max
40
TAT
24–168 hours
Order
routine

Why Is This Test Done?

Doctors may order CRP tests to evaluate signs of inflammation, monitor chronic conditions like rheumatoid arthritis or lupus, or assess for infections such as pneumonia or sepsis. It can also help track how well treatment is working for certain conditions.

What Does a High or Low CRP Level Mean?

A higher CRP level often indicates inflammation or infection. While not specific to any single condition, elevated CRP can signal areas needing further investigation, such as infections, autoimmune diseases, or other inflammatory processes. A low CRP level suggests minimal inflammation, but it doesn’t rule out all possible causes.

Sample Collection and Preparation

This test uses a blood sample, typically drawn from a vein in your arm. The blood is collected in a special tube that separates serum or plasma from cells. The sample is then sent to a lab for analysis using nephelometry, a method that measures how much light is scattered by particles in the sample.

What to Expect Before the Test

You can eat and drink normally before the test. Avoid heavy exercise or strenuous activities 24 hours before your appointment, as this may affect your CRP levels. Inform your healthcare provider about any medications you’re taking, as some may influence inflammation markers.

Reference range

Negative: No detectable IgG antibodies against Chikungunya E1/E2 structural proteins. Positive: IgG antibodies detected, indicating past exposure or persistent infection. Equivocal/Borderline: Repeat testing in 10-14 days recommended. Interpretation requires correlation with clinical presentation, travel history, and endemic exposure.N/A

Specimen: serum

No special preparation required. Sample may be collected at any time of day. Patients should be encouraged to disclose recent travel history to Chikungunya-endemic regions and prior flavivirus/alphavirus vaccination or infection, as cross-reactivity may occur.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

CRP (Nephelometry)

Frequently asked questions

CRP is a general marker of inflammation and is not disease-specific. It can be elevated due to infections, injuries, surgeries, or certain autoimmune diseases. While it doesn’t diagnose a specific condition, it helps guide further testing or treatment decisions by indicating the presence of inflammation that may need addressing.
CRP levels can sometimes be elevated due to non-inflammatory conditions like obesity, smoking, or certain medications. If your CRP is high, your doctor may recommend additional tests to identify the underlying cause.
How often should I get a CRP test if I have a chronic condition like arthritis?
Your doctor will determine the frequency of CRP testing based on your specific condition, symptoms, and treatment plan. Regular monitoring helps track inflammation levels and adjust treatments as needed.
Can lifestyle changes, like diet or exercise, affect CRP levels?
Yes, lifestyle factors such as diet, exercise, smoking, and weight can influence CRP levels. Adopting an anti-inflammatory diet, staying physically active, and avoiding smoking may help lower CRP levels and reduce inflammation over time.
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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