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Total Serum Isocyanate Concentration (24-Hour Urine)

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

This test measures the total amount of isocyanates, a group of chemicals used in adhesives, coatings, and sealants, over a 24-hour period in your urine. Isocyanates can cause skin and respiratory irritation and may pose long-term health risks if exposure is frequent.

Quick summary

["Assessing long-term exposure to harmful chemicals from workplace or household products."]

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

Key facts at a glance

LOINC
61278-8
Short code
Isocyanate TDI IgE/IgE total %
Synonyms
Isocyanate TDI IgE/IgE total %
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
86038
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 Is This Test Done?

Your healthcare provider may order this test if you work in industries involving isocyanates (e.g., automotive, construction, or manufacturing) or if you experience symptoms like persistent coughing, skin rashes, or breathing difficulties. It helps evaluate potential occupational or environmental exposure.

What to Expect During the Test

You’ll collect all urine for a full 24-hour period in a sterile container. The sample is then sent to a lab for analysis. No special preparation is needed, but drink plenty of water to ensure proper urine flow.

How the Results Are Interpreted

Results are compared to reference ranges for healthy individuals. Elevated levels may indicate recent or ongoing exposure to isocyanates, but interpretation depends on clinical context, including your occupation and symptoms.

Potential Risks and Considerations

While urine collection is simple, improper handling (e.g., contamination) can affect results. If you’re pregnant, have kidney disease, or take certain medications, inform your provider before testing.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Isocyanates and Health

Short name

Total Urine Isocyanate (24h)

Frequently asked questions

What does a high or low result mean?
High levels may suggest recent exposure to isocyanates, which can irritate the lungs, skin, or eyes. Chronic exposure could increase risks for respiratory diseases or other health issues. Your doctor will discuss findings in relation to your symptoms and lifestyle.
How often should I get this test?
This test is typically done as a one-time screening or periodically if you continue working in high-risk environments. Follow your healthcare provider’s recommendations based on your exposure history and health status.
Can I stop taking supplements or medications before the test?
No special dietary or medication adjustments are needed unless advised by your provider. Some supplements or medications (e.g., diuretics) may affect urine volume or composition, so discuss this with them beforehand.
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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