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17ohp24hurmrate

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

A 24-hour urine test measuring 17-hydroxyprogesterone levels to help diagnose and monitor congenital adrenal hyperplasia (CAH) and certain adrenal disorders.

Quick summary

{"This test measures 17-hydroxyprogesterone hormone in a 24-hour urine collection","It primarily helps diagnose and monitor congenital adrenal hyperplasia (CAH)","Proper urine collection over 24 hours is critical for accurate results","Results are compared to age and gender-specific reference ranges","Abnormal results may require additional testing for confirmation"}

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

Key facts at a glance

LOINC
9616-4
Short code
17-OHP 24h U
Synonyms
17OHP 24h Ur-mRate
Category
chemistry
Sample
urine
Container
24-hour urine collection container (plastic, sterile, graduated)
Units
N/A
Ref low
0.5
Ref high
5
Critical range
— – 15 N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
CPT
83498
SNOMED
313295004
Specimen volume
Complete 24-hour collection, minimum 10 mL aliquot for analysis
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C): 30 days. Protect from light.
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
72–168 hours
Order
routine

What is this test?

The 17-Hydroxyprogesterone (17-OHP) urine test measures the amount of 17-hydroxyprogesterone, a steroid hormone produced by the adrenal glands, in your urine collected over a 24-hour period. This hormone is an intermediate in the production of cortisol, a vital stress hormone. The test helps healthcare providers evaluate how well your adrenal glands are functioning and screen for certain hormonal disorders.

During the 24-hour collection period, you will be given a special container to collect all urine produced. It is important to collect every urine sample during this time period, including the first morning urine on day 2, as the test measures the total hormone output over a full day. The container should be kept refrigerated or in a cool place during collection.

Reference range

0.5-5.0 µg/24h (adults); Reference ranges vary by age, sex, and clinical context. Consult laboratory for age-specific reference intervals.N/A

Specimen: urine

No special preparation required. Maintain normal hydration. Avoid vitamin C supplements 24 hours prior to collection as ascorbic acid may interfere with some assay methodologies. Collect urine in preservative-free container for LC-MS/MS methodology.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings3

Frequently asked questions

Why is a 24-hour urine collection needed instead of a single sample?
17-OHP levels naturally fluctuate throughout the day. A 24-hour collection provides a more accurate picture of your average hormone production by measuring the total amount excreted over a full day, rather than a momentary snapshot that could be affected by time of day or other factors.
Do I need to fast before this test?
Fasting is typically not required for this urine test. However, always follow your healthcare provider's specific instructions. Inform your doctor about any medications, supplements, or hormonal treatments you are taking, as these may affect test results.
What happens if my results are abnormal?
An abnormal result does not necessarily mean you have a serious condition. Your healthcare provider will consider your symptoms, medical history, and other test results to determine the meaning of your results. Additional tests such as blood tests, stimulation tests, or genetic testing may be needed to confirm a diagnosis.
Can this test be done in children?
Yes, this test is commonly performed in children, especially for screening and diagnosing congenital adrenal hyperplasia (CAH). Newborn screening for CAH often includes 17-OHP blood testing, and urine testing may be used for follow-up or monitoring. The collection process may be more challenging in young children but can be done with proper instructions from your healthcare provider.
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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