Bicarbonate Ion Concentration in Urine
This test measures the amount of bicarbonate in your urine, which helps assess how well your body balances acid and base levels.
["Urine bicarbonate helps evaluate kidney function and acid-base balance."]
Key facts at a glance
- LOINC
- 47579-8
- Short code
- HCO3 24h Ur-sRate
- Synonyms
- HCO3 24h Ur-sRate
- Category
- chemistry
- Sample
- urine
- Container
- Sterile urine container
- Units
- N/A
- Ref low
- 22
- Ref high
- 28
- 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 Is This Test Done?
Your doctor may order this test to check for kidney problems, such as metabolic acidosis or alkalosis, or to monitor conditions like kidney stones, urinary tract infections, or certain metabolic disorders. It can also help diagnose or manage conditions affecting urine composition, such as kidney disease or acid-base imbalances.
What Does the Result Mean?
Urine bicarbonate levels can vary based on diet, hydration, and health conditions. Abnormally high or low levels may indicate issues with kidney function, acid-base disorders, or other metabolic problems. Your doctor will interpret the result in the context of your overall health and other test results.
Sample Collection and Preparation
You’ll likely provide a first-morning urine sample in a clean container. Follow your healthcare provider’s instructions carefully to ensure accurate results. Avoid using sanitizers or cleaning agents that might alter the sample.
Common Conditions Monitored
This test is often used to monitor conditions like chronic kidney disease, urinary tract infections, kidney stones, or metabolic disorders such as renal tubular acidosis. It may also be part of broader evaluations for acid-base imbalances or metabolic syndrome.
Reference range
NCBI: HCO3- 22-28 mmol/LN/A
No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Short name
Urine Bicarbonate
Frequently asked questions
What Causes Urine Bicarbonate Levels to Be High?
What Causes Urine Bicarbonate Levels to Be Low?
How Often Should This Test Be Done?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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