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24-Hour Urinary Copper Mass Concentration

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

This test measures the total amount of copper found in your urine over a 24-hour period. Copper is a trace mineral that plays a role in various bodily functions, including antioxidant protection and iron metabolism.

Quick summary

["Assessing copper excretion can help identify potential copper overload or deficiency conditions."]

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

Key facts at a glance

LOINC
21219-1
Short code
Copper 24h Ur-mCnc
Synonyms
Copper 24h Ur-mCnc
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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

Why This Test Is Done

Your healthcare provider may order this test if you have symptoms or conditions linked to copper metabolism, such as Wilson’s disease (a genetic disorder causing copper buildup), kidney issues, or unexplained fatigue, nausea, or neurological symptoms. It may also be used to monitor copper levels in people with certain genetic disorders or those receiving treatments affecting copper absorption.

What to Expect Before the Test

No special preparation is typically required, but you may need to collect all urine for 24 hours in a sterile container. Drink plenty of fluids to ensure adequate urine production. If you’re taking medications or supplements, inform your provider.

How the Test Is Performed

You’ll collect all urine produced in a 24-hour period, starting and ending at the same time (e.g., midnight to midnight). The sample is then sent to a lab for analysis to determine the total copper concentration in your urine.

What the Results Mean

Results are reported as the mass concentration of copper in your urine, typically measured in micrograms per day (µg/day). While reference ranges vary by lab, elevated levels may suggest conditions like Wilson’s disease or certain kidney disorders, while very low levels could indicate malabsorption or other metabolic issues.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated urinary copper levels may indicate abnormal copper metabolism, such as in Wilson’s disease, where copper accumulates in organs due to a genetic defect. Low levels might suggest malabsorption, liver disease, or other metabolic disorders. Regular monitoring is important for patients with known copper-related conditions.

Short name

24-Hour Urine Copper

Frequently asked questions

What causes abnormal urinary copper levels?
Abnormal urinary copper levels can result from genetic disorders (e.g., Wilson’s disease), certain medications, kidney disease, or liver conditions. Lifestyle factors like diet (e.g., high copper intake from supplements or certain foods) may also influence results.
How often should this test be repeated?
The frequency depends on your clinical situation. If you have a known condition like Wilson’s disease, your provider may recommend regular monitoring. Otherwise, this test is usually done as needed for diagnosis or follow-up of suspected copper-related issues.
Can diet affect this test?
Yes, diet can influence copper levels. High-copper foods (e.g., organ meats, shellfish, nuts) or supplements may temporarily increase urinary copper. Avoiding these during the 24-hour collection period can help ensure accurate results.
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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