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Acebldccnc

Published: August 9, 2026Updated: August 10, 2026

The ACE test measures the level of angiotensin converting enzyme in your blood to help diagnose and monitor certain medical conditions.

Quick summary

{"ACE is an enzyme that helps regulate blood pressure and fluid balance","Elevated ACE levels are often associated with sarcoidosis","The test uses a simple blood sample from a vein","Results help doctors monitor disease progression and treatment effectiveness"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 10, 2026Editorial policy

Key facts at a glance

LOINC
1857-2
Short code
ACE
Synonyms
ACE Bld-cCnc
Category
chemistry
Sample
whole-blood
Container
Red top serum separator tube (SST) or gold top tiger top tube
Units
N/A
Ref low
9
Ref high
67
Fasting
false
Population
adult
Sex
all
Age range
≥ 18 years
Method
Enzymatic assay using spectrophotometric detection of hippuric acid or other substrate cleavage products
CPT
82164
SNOMED
313295005
Specimen volume
2-3 mL of venous blood
Stability
Room temperature: 24-48 hours; Refrigerated (2-8°C): 5-7 days; Frozen (-20°C or below): several weeks
Hemolysis max
50
Lipemia max
100
Icterus max
20
TAT
24–72 hours
Order
routine

What is this test?

The Angiotensin Converting Enzyme (ACE) test measures the amount and activity of ACE in your blood. ACE is an enzyme produced primarily in the lungs and blood vessels that plays a crucial role in the renin-angiotensin system, which controls blood pressure and fluid balance in the body.

Why is it performed?

The ACE test is primarily used to help diagnose and monitor sarcoidosis, a condition where inflammatory cells form clumps called granulomas in various organs. ACE is produced by these granulomas, so elevated levels in the blood can indicate active disease. The test may also be used to evaluate certain other conditions affecting the lungs or to monitor how well treatment is working.

How to prepare

No special preparation is typically required for the ACE test. You can eat and drink normally before the test. However, inform your doctor about all medications you are taking, as some drugs may affect ACE levels. The test is performed using a small blood sample drawn from a vein in your arm.

Understanding your results

Normal ACE levels vary by laboratory. Elevated ACE levels may indicate sarcoidosis, but can also be seen in other conditions such as Gaucher disease, certain infections, or liver disease. Low ACE levels are less common but can occur with some medications or conditions. Your doctor will interpret your results based on your symptoms and other test findings.

Reference range

Reference range: 9-67 U/L (units may vary by laboratory methodology)N/A

Specimen: whole-blood

No special preparation required. Patient does not need to fast. Inform laboratory of any ACE inhibitor medications as they may affect results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Does a normal ACE level mean I don't have sarcoidosis?
No, not necessarily. Some patients with sarcoidosis have normal ACE levels, especially in early or inactive disease. The test is used alongside other assessments, not as a definitive diagnostic tool on its own.
Can medications affect my ACE test results?
Yes, certain medications can influence ACE levels. ACE inhibitors (blood pressure medications) and corticosteroids may lower ACE levels. Always inform your healthcare provider about all medications and supplements you are taking before the test.
How often do I need this test?
The frequency of testing depends on your condition. For sarcoidosis patients, ACE levels may be checked periodically to monitor disease activity and treatment effectiveness, typically every few months or as directed by your doctor.
Is the ACE test painful?
The test involves a standard blood draw. You may feel a brief pinch or mild discomfort when the needle is inserted, but the procedure is generally quick and well-tolerated.
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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 10, 2026. · Read our editorial policy