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Renin to Uric Acid Ratio in Plasma (24-Hour Collection)

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

This test measures the ratio of renin—a hormone involved in blood pressure regulation—to uric acid in your plasma over 24 hours. It helps assess kidney function and potential kidney-related conditions.

Quick summary

["This ratio can help identify kidney issues or how your kidneys handle blood pressure regulation."]

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

Key facts at a glance

LOINC
56976-4
Short code
Renin upr+1h p chal Plas-mCnc
Synonyms
Renin upr+1h p chal Plas-mCnc
Category
chemistry
Sample
plasma
Container
Lavender-top (EDTA) or Green-top (Heparin)
Units
N/A
Ref low
44
Ref high
147
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84075
SNOMED
27550007
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 Is Done

Your doctor may order this test if you have symptoms like high blood pressure, kidney problems, or if they suspect conditions like primary hyperaldosteronism, chronic kidney disease, or other kidney-related disorders. It can also help monitor kidney function in certain chronic conditions.

What to Expect Before the Test

You’ll need to collect a 24-hour urine sample starting after your first morning urine void. Follow your healthcare provider’s instructions carefully to ensure accurate results. Avoid certain medications or foods that could affect uric acid levels.

What the Test Measures

Renin is measured in plasma, while uric acid is measured in the collected urine over 24 hours. The ratio helps evaluate how your kidneys process these substances, which can indicate kidney function and blood pressure regulation.

Possible Results and Interpretation

Results are typically interpreted by your doctor in relation to your medical history and other test results. Abnormal ratios may suggest kidney dysfunction, hormonal imbalances, or other underlying health issues.

Reference range

Adult: 44-147 U/LN/A

Specimen: plasma

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test is particularly useful for diagnosing or monitoring conditions affecting kidney function, blood pressure, or hormone regulation. Elevated or low ratios may point to conditions like chronic kidney disease, hyperaldosteronism, or other metabolic disorders.

Short name

24-Hour Renin/Uric Acid Ratio

Frequently asked questions

What does a high or low ratio mean?
A high ratio might indicate conditions like chronic kidney disease or certain hormonal imbalances, while a low ratio could suggest kidney dysfunction or other metabolic issues. Your doctor will discuss these findings with you.
How often will I need this test?
Your doctor will determine how often you need this test based on your health condition and treatment plan. Follow-up tests may be scheduled periodically to monitor changes.
Can I eat or drink anything before the test?
Yes, you can eat and drink normally, but avoid certain medications that may affect uric acid levels, such as some diuretics or certain pain relievers. Always check with your healthcare provider for specific instructions.
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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