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Serum or plasma concentration of uric acid (rate of excretion or clearance)

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

This test measures how efficiently your kidneys filter and remove uric acid from your blood. Uric acid is a waste product from breaking down certain foods and substances in your body, and it can build up if your kidneys aren’t working properly.

Quick summary

["Assesses kidney function related to uric acid metabolism and clearance."]

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

Key facts at a glance

LOINC
45368-8
Short code
LPT 5 ug CA Bld-nRate
Synonyms
LPT 5 ug CA Bld-nRate
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
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
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your doctor may order this test if they suspect kidney problems, such as chronic kidney disease (CKD), or if you have symptoms like frequent urination, swelling, or high blood pressure. It can also help evaluate how well your kidneys are handling waste products like uric acid, which can sometimes contribute to conditions like gout.

What to Expect Before the Test

No special preparation is usually needed. You may be asked to fast for 8–12 hours before the test if your blood is drawn, but if it’s a urine-based clearance test, you’ll need to collect a 24-hour urine sample starting after an initial blood draw.

How the Test Works

Blood is drawn to measure uric acid levels, and urine is collected over 24 hours to measure how much uric acid is excreted. The test compares these values to estimate how well your kidneys are clearing uric acid from your bloodstream.

Possible Results and Interpretation

Results are typically reported as a clearance rate (e.g., in milliliters per minute). Lower than expected clearance may indicate kidney dysfunction, while higher values could suggest overproduction of uric acid or errors in collection.

Reference range

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

Specimen: whole-blood

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.

Low uric acid clearance can signal kidney disease, including reduced glomerular filtration rate (GFR), which is critical for filtering waste. Elevated uric acid levels alone may not be enough to diagnose clearance issues, but this test helps assess kidney function in conjunction with other tests like GFR or serum creatinine.

Short name

Uric acid clearance

Frequently asked questions

What Does a Low Clearance Rate Mean?
A lower-than-expected clearance rate suggests your kidneys may not be filtering uric acid as efficiently as they should. This could be due to kidney damage, inflammation, or other underlying conditions affecting kidney function.
What Does a High Clearance Rate Indicate?
A higher-than-expected clearance rate might indicate that uric acid is being excreted too quickly, possibly due to overproduction (e.g., from certain medications or metabolic conditions) or errors in urine collection. It’s less common but warrants further investigation.
Does Diet Affect This Test?
Diet can influence uric acid levels, but since this test measures clearance (not just blood levels), dietary changes alone won’t directly alter the clearance rate. However, avoiding high-purine foods (like red meat or shellfish) for a few days before testing may help stabilize uric acid levels if your doctor recommends it.
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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