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24-Hour Urine Oxalate Measurement

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

This test measures the amount of oxalate, a chemical produced by the body that can contribute to kidney stones or other health issues when levels are too high. It involves collecting all urine for a full day.

Quick summary

["Helps assess risk for kidney stones or metabolic conditions linked to oxalate buildup."]

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

Key facts at a glance

LOINC
27222-9
Short code
Oxalate 24h Ur-mCnc
Synonyms
Oxalate 24h Ur-mCnc
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 Matters

Oxalate is a natural substance in the body that can form crystals in the kidneys, sometimes leading to kidney stones. High levels may also be linked to other conditions like certain metabolic disorders. This test helps doctors check if your body is producing too much oxalate over 24 hours.

How the Test Works

You’ll collect all urine produced in a 24-hour period in a special container. The sample is then sent to a lab for analysis to measure oxalate concentration.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to drink extra fluids to help flush out oxalate. Avoid certain supplements or foods high in oxalates (like spinach, nuts, or chocolate) for a few days before testing if advised by your doctor.

Common Causes of High Oxalate Levels

High oxalate levels can result from diet (e.g., excessive intake of high-oxalate foods), certain medical conditions (like celiac disease or kidney disease), or metabolic disorders. Lifestyle factors, such as dehydration or alcohol use, may also play a role.

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.

◆Associated findings1

Short name

Oxalate (24-hour urine)

Frequently asked questions

What might high or low oxalate levels indicate?
High levels of oxalate in urine may suggest an increased risk of kidney stones or other kidney issues. It can also be a sign of underlying conditions like celiac disease or certain genetic metabolic disorders. Low levels are less commonly significant but may warrant further evaluation if unexplained.
How often should this test be done?
Your doctor will determine if and how often this test is needed based on your medical history, symptoms, and other test results. Some people with a history of kidney stones or related conditions may need periodic monitoring.
Can diet changes affect oxalate levels?
Yes, diet plays a major role. Reducing foods high in oxalates (like nuts, chocolate, and certain leafy greens) and staying well-hydrated can help lower oxalate levels. Always follow your doctor’s recommendations for dietary adjustments.
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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