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24-Hour Urine Uric Acid (Total)

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

This test measures the total amount of uric acid excreted in your urine over a full day. Uric acid is a waste product from your body that can build up and cause health issues if levels are too high.

Quick summary

["A 24-hour urine uric acid test helps track how much uric acid your body removes through urine, which can help diagnose or monitor conditions like gout or kidney problems."]

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

Key facts at a glance

LOINC
3087-4
Short code
Urate 24h Ur-mRate
Synonyms
Urate 24h Ur-mRate
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
20
Ref high
400
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82670
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

Why This Test Is Done

Your doctor may recommend this test if you have symptoms of high uric acid levels, such as joint pain (gout), kidney stones, or if you’re being treated for a condition that affects uric acid metabolism. It’s also used to monitor kidney function or check for overproduction of uric acid.

What to Expect Before the Test

You’ll need to collect all urine for a full 24-hour period, starting right after you wake up and ending just before you wake up the next morning. Store the urine in a refrigerator to keep it fresh. Bring all the urine samples to your lab appointment.

What Happens During the Test

No special preparation is needed beyond collecting your urine sample. The lab will analyze the total volume and the concentration of uric acid in your urine to calculate the total amount excreted over the day.

What the Results Mean

Results help determine if your uric acid levels are normal or if they’re too high or too low. High levels may indicate conditions like gout, kidney disease, or certain medications affecting uric acid. Low levels might suggest metabolic issues or certain genetic disorders.

Reference range

Premenopausal: 20-400 pg/mL; Postmenopausal: <30 pg/mLN/A

Specimen: urine

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated uric acid levels in urine can signal underlying health concerns, such as gout, kidney dysfunction, or metabolic syndrome. Monitoring this test helps doctors manage conditions where uric acid buildup is a risk, ensuring timely treatment to prevent complications like joint damage or kidney stones.

Short name

Urate 24h Urine Rate

Frequently asked questions

How is this test different from a regular uric acid blood test?
A 24-hour urine uric acid test measures the total amount of uric acid your body removes through urine over a full day, while a blood test measures the uric acid level in your blood at a single point in time. The urine test provides a more comprehensive picture of uric acid excretion.
What should I do if my uric acid levels are high?
If your test results show high uric acid levels, your doctor may recommend lifestyle changes (like reducing purine-rich foods), medications to lower uric acid, or further testing to identify the cause. Follow your doctor’s advice for personalized treatment.
Can I eat or drink anything special before the urine collection?
No special diet is required, but avoid excessive alcohol or foods high in purines (like organ meats, shellfish, or red meat) for 24 hours before collecting your urine to get an accurate result.
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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