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24-Hour Urinary Iron Excretion Rate

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

This test measures how much iron your body excretes in urine over a full day, which can help assess iron metabolism and identify conditions like hemochromatosis or kidney-related iron issues.

Quick summary

["Helps diagnose or monitor iron-related disorders by tracking daily iron loss through urine."]

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

Key facts at a glance

LOINC
2499-2
Short code
Iron 24h Ur-mRate
Synonyms
Iron 24h Ur-mRate
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
60
Ref high
170
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
83540
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 Matters

Measuring iron excretion in urine helps doctors check if your body is losing too much iron or retaining too much. This can be important for diagnosing conditions like hemochromatosis (a genetic disorder causing iron overload) or kidney diseases that affect iron metabolism.

What to Expect Before the Test

You’ll likely be asked to collect all urine for a full 24-hour period. Typically, you’ll start by emptying your bladder at home, then collect every urine sample in a container until you empty again the next morning. Bring all samples to your lab for testing.

How the Test Works

Your urine samples are analyzed to determine the total amount of iron excreted. This is done using a sensitive laboratory method to measure iron concentration in the urine over the full day.

Possible Causes for Testing

Doctors may order this test if you have symptoms like fatigue, joint pain, or liver problems that could suggest iron overload. It’s also used to monitor kidney function or iron metabolism in people with certain genetic conditions or chronic diseases.

Reference range

NCBI: Serum Iron Male 65-180; Female 50-170 µg/dLN/A

Specimen: urine

Fasting for 12 hours preferred. Iron supplements should be stopped 24 hours before if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Iron in urine over 24 hours

Frequently asked questions

What does a high or low urinary iron rate mean?
A high urinary iron rate may suggest hemochromatosis or excessive iron loss, while a low rate could indicate iron overload not being excreted properly. Your doctor will interpret results in the context of your symptoms and overall health.
How often should I get this test?
Your doctor will determine the frequency based on your medical history, symptoms, and diagnosis. Some people may need this test yearly or more often if they have a known iron-related condition.
No special diet is required, but avoid taking iron supplements or certain medications that affect iron levels before testing. Follow your doctor’s instructions for the exact timing.
There’s no discomfort during the test. You’ll just need to collect urine samples at home, which involves emptying your bladder into a container at regular intervals. The lab analysis is painless.
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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