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Urine Protein-to-Creatinine Ratio (24-hour collection)

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

This test measures the amount of protein in your urine compared to a measure of kidney function, using creatinine. It helps assess how much protein is being lost in your urine over a full day.

Quick summary

["Helps detect and monitor kidney damage or protein loss in urine over time."]

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

Key facts at a glance

LOINC
19152-8
Short code
Acceptible Sp Gr Ur Ql
Synonyms
Acceptible Sp Gr Ur Ql
Category
coagulation
Sample
urine
Container
Sterile urine container
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
CPT
85610
SNOMED
396252006
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 order this test if you have symptoms like swelling, frequent urination, or changes in how much you urinate. It’s also used to check for conditions like kidney disease, diabetes, or high blood pressure that can affect kidney function. Sometimes, it’s part of a routine checkup for people at higher risk of kidney problems.

How the Test Works

You’ll collect all your urine for a full 24-hour period, typically starting and ending at the same time each day. The sample is then tested in a lab to compare protein levels to creatinine, a waste product your kidneys normally filter out.

What to Expect Before the Test

No special preparation is needed, but you should drink enough fluids to produce urine consistently throughout the day. Avoid taking certain medications (like some blood pressure drugs) without talking to your doctor first, as they can affect results.

What to Expect During the Test

You’ll collect your urine in a container for the full 24 hours, changing the container every time you urinate. A healthcare provider may give you instructions on how to start and stop the collection period correctly.

Reference range

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

Specimen: urine

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.

◆Associated findings1

Short name

24-Hour Urine Protein-to-Creatinine Ratio

Frequently asked questions

What does a high urine protein-to-creatinine ratio mean?
A high ratio suggests your kidneys may be leaking more protein than usual into your urine, which could signal kidney damage, inflammation, or other underlying issues like diabetes or high blood pressure.
What if I miss any urine during the 24-hour collection?
Missing urine can skew results. If this happens, you should restart the collection from the next morning and submit the new 24-hour sample. Always follow your healthcare provider’s instructions precisely.
Can I take over-the-counter medications during the test?
Some medications, like nonsteroidal anti-inflammatory drugs (NSAIDs) or certain blood pressure pills, can affect protein levels. Always check with your doctor before taking any medication during your urine collection.
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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