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Cobalt, 24-Hour Urine — Substance Concentration

Published: August 9, 2026Updated: August 17, 2026

Measures the amount of cobalt excreted in urine over 24 hours, primarily to assess recent exposure to cobalt or identify possible sources such as workplace exposure or joint implants.

Quick summary

["An elevated result can suggest increased cobalt exposure, but it must be interpreted with your occupation, medical history, and collection quality."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
34269-1
Short code
Cobalt 24h Ur-sCnc
Synonyms
Cobalt 24h Ur-sCnc
Category
liver
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
7
Ref high
56
Critical range
— – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84484
SNOMED
302773008
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

This test measures cobalt in all urine collected over a 24-hour period. Cobalt is a trace element that can enter the body through workplace exposure, certain products or medicines, or a cobalt-containing joint implant.

Why might I need this test?

A clinician may order this test if you work with metals or metal-containing products, have possible exposure to contaminated medicines, or have a joint implant that could release small amounts of cobalt. It may also be used to follow an abnormal result over time.

How is the test performed?

You collect all urine for a full 24 hours, usually in the special container provided by the laboratory. Record when the collection began and ended, keep the container closed, and return it promptly so the laboratory can measure the amount of cobalt.

How do I prepare for the test?

Follow the laboratory's collection instructions and ask about work clothes, medicines, or dietary supplements that may affect the result. Do not stop medicines or change your diet unless your clinician specifically tells you to do so.

Reference range

Adult males: 7-56 U/L; Adult females: 7-43 U/LN/A

Specimen: urine

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

24-hour urine cobalt

Frequently asked questions

Do I need to fast for this test?
Fasting is generally not required, but your clinician or laboratory may give special instructions if you have workplace or medicine-related exposure. Continue normal meals unless you are told otherwise.
What happens if I miss part of the urine collection?
An incomplete collection can make the result less reliable. Tell the laboratory when the collection started and ended and whether any urine was missed; the clinician may ask you to repeat the test.
Can a joint implant affect the result?
Yes. Small amounts of cobalt from some joint implants can enter the bloodstream and appear in urine, particularly with certain types of implants or loosening of a component.
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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 17, 2026. · Read our editorial policy