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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 (an enzyme involved in blood pressure regulation) to uric acid (a waste product from the body’s metabolism) in your plasma over a 24-hour period. It helps assess how well your kidneys are managing fluid balance and blood pressure.

Quick summary

["Helps evaluate kidney function and blood pressure regulation over time."]

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

Key facts at a glance

LOINC
56975-6
Short code
Renin upr+30M p chal Plas-mCnc
Synonyms
Renin upr+30M 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 issues, or conditions affecting fluid balance. It can also help diagnose or monitor certain kidney-related disorders or kidney disease progression.

What to Expect Before the Test

You’ll need to collect urine for 24 hours, starting and ending with your first morning urine. Store all urine samples in a refrigerator until you return them to the lab. Follow your doctor’s instructions carefully to ensure accurate results.

How the Test Works

Your urine is analyzed for both renin and uric acid levels. The test calculates the ratio of these two substances to assess kidney function and how your body regulates fluid and blood pressure.

Possible Results and Interpretation

Results are typically reported as a ratio, but they’re interpreted by your healthcare provider based on your medical history and symptoms. Abnormal ratios may indicate kidney problems, fluid imbalances, or other conditions affecting blood pressure regulation.

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.

◆Associated findings1

Short name

Renin/Uric Acid Ratio

Frequently asked questions

What does a high or low ratio mean?
A high ratio may suggest kidney issues or fluid overload, while a low ratio could indicate problems with blood pressure regulation or kidney function. Your doctor will discuss these findings with you based on your overall health.
How often will I need this test?
Your doctor may recommend this test periodically if you have ongoing kidney or blood pressure concerns. Follow-up tests depend on your treatment plan and how your body responds to any medications or lifestyle changes.
Can I drink fluids before or during the 24-hour urine collection?
Yes, but drink as usual unless instructed otherwise. Avoid excessive caffeine or alcohol, as they can affect uric acid levels. Always follow your lab’s specific instructions for the best results.
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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