Ordering Recommendation

The combined aldosterone/renin tests are preferred when screening for hyperaldosteronism. Refer to Aldosterone/Renin Activity Ratio (0070073) or Aldosterone and Renin Direct, With Ratio (3005949).

New York DOH Approval Status

This test is New York state approved.

Specimen Required

Patient Preparation

Collect midmorning after patient has been sitting, standing, or walking for at least 2 hours and seated for 5-15 minutes. Refer to the Additional Technical Information for specific patient preparation recommendations.

Collect

Lavender (EDTA) or pink (K2EDTA). Do not collect in refrigerated tubes.

Specimen Preparation

Separate from cells ASAP or within 2 hours of collection. Transfer 2 mL plasma to an ARUP standard transport tube and freeze immediately. (Min: 1.2 mL)
Storage at refrigerated temperatures may cause falsely elevated results. Do not collect in refrigerated tubes.

Storage/Transport Temperature

CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.

Unacceptable Conditions

Serum. Specimens collected in citrate, heparin, or oxalate. Hemolyzed specimens.

Remarks
Stability

After separation from cells: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month

Methodology

Quantitative Enzyme-Linked Immunosorbent Assay (ELISA)

Performed

Sun-Sat

Reported

1-4 days

Reference Interval

Test Number
Components
Reference Interval
  Renin Activity
Age
Supine (ng/mL/hr)
Normal sodium diet
Upright (ng/mL/hr)
Normal sodium diet
Cord blood 4.0-32.0 Not Available
Newborn (1-7 days) 2.0-35.0 Not Available
1-12 months 2.4-37.0 Not Available
13 months-3 years 1.7-11.2 Not Available
4-5 years 1.0-6.5 Less than or equal to 15
6-10 years 0.5-5.9 Less than or equal to 17
11-15 years 0.5-3.3 Less than or equal to 16
Adult 0.2-1.6 0.5-4.0

Interpretive Data

  Plasma renin activity measures enzyme ability to convert angiotensinogen to angiotensin I and is limited by the availability of angiotensinogen. Plasma renin activity is not an accurate indicator of enzyme activity when angiotensinogen is decreased.

Compliance Category

Laboratory Developed Test (LDT)

Note

  Refer to the Additional Technical Information for Endocrine Society recommendations for patient preparation, specimen collection, medications for hypertension control during confirmatory testing for primary aldosteronism, and factors that may lead to false-positive or false-negative aldosterone-renin ratio (ARR) results.

Hotline History

N/A

CPT Codes

84244

Components

Component Test Code* Component Chart Name LOINC
0070105 Renin Activity 2915-7
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.

Aliases

  • Plasma Renin Activity
  • PRA
  • Renin Activity, Plasma
Renin Activity