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Urine Phosphoserine/Creatinine Ratio

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

This urine test measures phosphoserine relative to creatinine, helping evaluate phosphoserine excretion while accounting for urine concentration.

Quick summary

["An elevated result may indicate increased phosphoserine excretion, but it must be interpreted with symptoms and other laboratory findings."]

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

Key facts at a glance

LOINC
28600-5
Short code
Phosphoserine/Creat Ur-Rto
Synonyms
Phosphoserine/Creat Ur-Rto
Category
kidney
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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?

Phosphoserine is a non-protein building block involved in serine metabolism. This test compares the amount of phosphoserine in urine with the amount of creatinine, which helps account for differences in urine concentration.

Why might I need this test?

The test may be used to investigate unusual phosphoserine levels or symptoms suggesting an inherited disorder of amino acid metabolism. It can also help assess phosphoserine excretion when evaluating suspected serine metabolism disorders.

How is the test performed?

A urine sample is collected and analyzed in the laboratory for phosphoserine and creatinine. The laboratory then calculates the phosphoserine-to-creatinine ratio. The type of urine collection will depend on your healthcare provider's instructions.

How do I prepare for the test?

Follow the urine collection instructions provided by your healthcare professional. Your clinician may advise you about supplements, medications, or diet changes before the test. If a timed collection is requested, record the collection period and urine volume as directed.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A higher-than-expected ratio may reflect increased phosphoserine excretion, reduced kidney handling, or an inherited disturbance in serine metabolism. Interpretation depends on urine collection, kidney function, diet or supplements, symptoms, and other laboratory results. A single result does not by itself establish a diagnosis.

Short name

Urine phosphoserine/creatinine ratio

Frequently asked questions

What does the phosphoserine/creatinine ratio measure?
It measures the relative amount of phosphoserine in urine compared with creatinine. Creatinine is used as a reference to help reduce the effect of variations in urine concentration.
Is this the same as a serum phosphoserine test?
No. This test uses a urine sample and evaluates phosphoserine excretion, while a serum test measures phosphoserine in the bloodstream.
What if my result is abnormal?
An abnormal result may have several explanations and should be reviewed with your clinician. Additional urine or blood tests and your medical history may be needed to determine its significance.
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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