Skip to content

Albumin to Creatinine Ratio (Serum)

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

This test compares the levels of albumin (a protein) and creatinine (a waste product from muscles) in your blood. It helps assess kidney function and protein loss in urine, often used to detect early kidney disease or conditions like nephrotic syndrome.

Quick summary

["Measures kidney health and protein loss by evaluating blood protein and waste product levels."]

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

Key facts at a glance

LOINC
13064-1
Short code
PA IgA Bld-aCnc
Synonyms
PA IgA Bld-aCnc
Category
hematology
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82784
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 healthcare provider may order this test if you have symptoms like swelling, frequent urination, or unexplained weight gain. It’s also used in routine check-ups for people at higher risk of kidney problems, such as those with diabetes or high blood pressure.

What to Expect Before the Test

No special preparation is needed. You’ll have a small needle inserted into your arm or vein to draw blood. If you’re being tested for kidney function, you may be asked to collect a urine sample first, but this isn’t always required for this specific test.

How the Test Works

Blood is drawn and sent to a lab, where albumin and creatinine levels are measured. The ratio helps determine how well your kidneys are filtering waste and retaining proteins.

What the Results Mean

A higher ratio may indicate kidney disease or protein loss in urine, while a lower ratio could suggest malnutrition or liver disease. Your results will be interpreted by your healthcare provider in the context of your overall health.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: This ratio is particularly useful for detecting early kidney damage or proteinuria (protein in urine) that might not be caught by other tests alone. It’s often used alongside other kidney function tests to provide a clearer picture of your health.

Short name

Albumin:Creatinine Ratio

Frequently asked questions

Why might my healthcare provider ask for this test?
They may recommend it if you have symptoms like swelling, fatigue, or if you have a condition like diabetes or high blood pressure that increases kidney risk. It can also be part of a general health check or monitoring for chronic kidney disease.
What does a high or low ratio mean?
A high ratio could signal kidney problems or excessive protein loss, while a low ratio might suggest malnutrition, liver issues, or other health concerns. Your provider will discuss these findings with you.
Do I need to fast before this test?
No fasting is required for this test. However, if you’re also having a urine test, follow any specific instructions your provider gives you.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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