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Myoglobin-to-Creatinine Ratio, Urine

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

A urine test that compares myoglobin with creatinine to help evaluate muscle breakdown and identify myoglobin released into the urine.

Quick summary

["An elevated result may indicate muscle injury and release of myoglobin into the urine."]

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

Key facts at a glance

LOINC
11147-6
Short code
Myoglobin/Creat Ur
Synonyms
Myoglobin/Creat Ur
Category
kidney
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
0
Ref high
70
Critical range
— – 200 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
83880
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

What is this test?

This test measures myoglobin in urine relative to creatinine, a waste product used as a marker of urine concentration. Myoglobin is a protein released from muscle tissue when muscle cells are damaged.

Why might I need this test?

A clinician may order this test to look for muscle injury, especially when there is dark-colored urine, muscle pain, weakness, or concern for a condition called rhabdomyolysis. It may also be used to monitor people taking medicines that can injure muscles.

How is the test performed?

A urine sample is collected and tested in a laboratory to measure the amounts of myoglobin and creatinine. The results are used to calculate a myoglobin-to-creatinine ratio.

How do I prepare for the test?

Follow the urine collection instructions provided by your clinician or laboratory. These may include collecting a clean-catch, midstream urine sample at a specified time, and avoiding heavy exercise before collection because it can temporarily increase urine myoglobin.

Reference range

Adult males: 20-70 μg/L; Females: 25-58 μg/LN/A

Specimen: urine

No special preparation required. Inform provider of any chest pain or symptoms.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

An elevated ratio may indicate that muscle tissue is breaking down and releasing myoglobin into the urine. This can occur after severe muscle injury, intense exercise, seizures, prolonged pressure on muscles, or certain medicine effects. High urine myoglobin may increase the risk of kidney injury, so results should be interpreted alongside other kidney and muscle tests.

Short name

Urine myoglobin-to-creatinine ratio

Frequently asked questions

What does myoglobin in urine mean?
Myoglobin in urine can mean that muscle cells have been damaged enough to release this protein. Small increases may occur after strenuous exercise, while a higher or persistent increase may suggest a more significant muscle injury.
Why is creatinine included in this test?
Creatinine helps account for how concentrated the urine is. Comparing myoglobin with creatinine makes it easier to interpret a urine sample that may be very dilute or very concentrated.
Can medicines or exercise affect the result?
Yes. Strenuous exercise and medicines that can cause muscle injury, including some cholesterol-lowering medicines, may increase urine myoglobin. Tell your clinician about recent exercise, muscle symptoms, and all medicines or supplements you use.
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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