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24-Hour Free Procollagen III N-Terminal Peptide Urine Test

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

This test measures the amount of a specific protein fragment (free procollagen III N-terminal peptide) found in your urine over 24 hours. It helps assess collagen production and tissue breakdown, often linked to conditions affecting connective tissue.

Quick summary

["This urine test can help track collagen-related health and identify potential issues in connective tissue over time."]

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

Key facts at a glance

LOINC
32022-6
Short code
OH-Proline Free 24h Ur-sCnc
Synonyms
OH-Proline Free 24h Ur-sCnc
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
20
Ref high
400
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82670
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 Is Done

Your healthcare provider may order this test if you have symptoms or conditions related to abnormal collagen production, such as certain connective tissue disorders, scarring, or chronic inflammation. It may also be used to monitor treatment responses in patients with conditions like scleroderma or other fibrotic diseases.

What to Expect Before the Test

No special preparation is typically required. Collect your urine over a full 24-hour period, starting and ending with your first and last voids of the day. Store the urine in a refrigerator until testing.

How the Test Is Performed

The test involves measuring the concentration of free procollagen III N-terminal peptide in your urine sample. This is done using a specialized laboratory method to detect and quantify the protein fragment.

Possible Results and Interpretation

Results are interpreted by your healthcare provider based on clinical context, symptoms, and other test results. Elevated levels may suggest increased collagen breakdown or tissue damage, while lower levels might indicate reduced collagen production or less tissue turnover.

Reference range

Premenopausal: 20-400 pg/mL; Postmenopausal: <30 pg/mLN/A

Specimen: urine

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.

Elevated levels of free procollagen III N-terminal peptide in urine can indicate ongoing tissue remodeling or fibrosis, which may be associated with conditions such as kidney disease, liver fibrosis, or certain autoimmune disorders. It can also help monitor the progression or response to treatment in patients with known connective tissue disorders.

Short name

Free procollagen III urine

Frequently asked questions

What does a high or low result mean?
A high result may suggest increased tissue breakdown or fibrosis, which could be linked to conditions affecting collagen production or repair. A low result might indicate normal collagen turnover or less tissue remodeling. Your healthcare provider will discuss these findings in relation to your symptoms and medical history.
How often should this test be repeated?
The frequency depends on your medical condition and treatment plan. Your healthcare provider will determine if repeat testing is needed to monitor changes over time.
Is there any risk or side effect associated with this test?
This test involves a urine sample collection, which is generally safe and has minimal risks. There are no invasive procedures or significant side effects associated with this test.
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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