Skip to content

Serum Creatinine Phosphokinase (CPK) Isoenzyme Assay (Total CPK)

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

This test measures the total level of creatine phosphokinase (CPK), an enzyme found in heart, muscle, and brain tissues. CPK helps assess muscle damage, heart injury, or other conditions affecting these organs.

Quick summary

["CPK levels can indicate damage to muscles, heart, or nerves."]

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

Key facts at a glance

LOINC
9933-3
Short code
Q wave Dpth L-V3
Synonyms
Q wave Dpth L-V3
Category
coagulation
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ekg
CPT
85610
SNOMED
396252006
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your doctor may order this test to evaluate symptoms like muscle weakness, chest pain, or unexplained fatigue. It can also help diagnose conditions such as heart attacks, muscle injuries, or neurological disorders.

Common Reasons for Testing

Common reasons include monitoring muscle health post-injury or surgery, checking for heart-related issues, or investigating unexplained muscle weakness or pain.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for a few hours before the test if blood is drawn from your vein. Avoid strenuous exercise or consuming certain medications that could affect results.

How the Test Is Performed

A healthcare professional will draw blood from a vein in your arm using a needle. The blood sample is then sent to a lab for analysis. This test is typically done in a clinical setting.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated CPK levels may suggest muscle damage, heart attack, or other conditions causing tissue injury. Lower-than-normal levels might indicate muscle wasting or certain metabolic disorders. Always discuss results with your healthcare provider for accurate interpretation.

Short name

Total Creatine Phosphokinase (CPK)

Frequently asked questions

What does a high CPK level mean?
A high CPK level can indicate muscle damage, heart injury, or conditions like myopathy, stroke, or severe exercise-induced muscle stress. Your doctor will consider your symptoms and other test results to determine the cause.
What does a low CPK level mean?
Low CPK levels may suggest muscle atrophy, certain metabolic disorders, or conditions affecting muscle function. It’s important to discuss these results with your healthcare provider to understand potential underlying causes.
How often should I get this test?
Your doctor will determine the frequency of testing based on your health condition, symptoms, and medical history. Regular monitoring may be needed if you have ongoing muscle or heart issues.
  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