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Peptide C (Protein C Active) in Plasma

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

This test measures the active form of Protein C, a protein in your blood that helps prevent blood clots from forming too easily.

Quick summary

["Protein C helps regulate blood clotting and its levels can indicate risks for clotting disorders."]

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

Key facts at a glance

LOINC
25570-3
Short code
C peptide sp12 p chal SerPl-sCnc
Synonyms
C peptide sp12 p chal SerPl-sCnc
Category
coagulation
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85610
SNOMED
396252006
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your doctor may request this test if you have a history of blood clots, certain blood disorders, or if you’re taking medications that affect blood clotting. It may also be done before surgery or during pregnancy to assess your risk for clotting complications.

What to Expect Before the Test

No special preparation is needed, but you may need to fast for 8–12 hours before the test if it’s drawn from a vein. If drawn from a fingerstick, fasting isn’t required. Bring any medications or supplements you’re taking to your appointment.

What Happens During the Test

A healthcare provider will collect a blood sample from a vein in your arm. The blood will be processed to separate plasma, where the Protein C level is measured using a specialized lab technique.

What the Results Mean

Low levels of active Protein C may suggest an increased risk of blood clots, while very low levels could indicate a genetic or acquired disorder affecting clotting. High levels are less common but may be seen in certain conditions.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Protein C plays a critical role in preventing excessive blood clotting. Abnormal levels can indicate conditions like thrombophilia (a tendency to form clots), liver disease, or certain medications (like anticoagulants) that alter clotting pathways. Monitoring Protein C helps guide treatment for clotting risks or bleeding disorders.

Short name

Active Protein C Level

Frequently asked questions

What causes Protein C levels to be low?
Low active Protein C can be caused by genetic mutations, liver disease, severe malnutrition, or certain medications that interfere with blood clotting. It may also appear temporarily after surgery or trauma.
How is Protein C tested?
The test measures the active form of Protein C in plasma using a lab method called immunoassay or clia, which detects its presence and concentration without relying on a specific numeric range.
Can I eat or drink before this test?
For blood drawn from a vein, fasting is usually required for 8–12 hours. If drawn from a fingerstick, no fasting is needed. Always follow your healthcare provider’s instructions.
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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