Celio Health
0
Shop TestsPanels & Bundles How It WorksWhat Tests CostAbout UsFind a Quest locationBlog
Log in or create account
Lab test

Deoxypyridinoline Crosslinks, Urine Test

The deoxypyridinoline crosslinks test measures a bone breakdown marker in a first morning urine sample. Quest describes it as a way to monitor response to antiresorptive therapy in postmenopausal women and people with osteoporosis.

Urine sampleQuest patient service center

About this test

Deoxypyridinoline crosslinks appear in urine when bone tissue is broken down, and the test reports their level relative to creatinine in a first morning sample. Quest describes this measurement as useful for monitoring response to antiresorptive therapy rather than for diagnosing bone conditions.

The sample is analyzed using a quantitative enzyme immunoassay. Quest is explicit that this test does not replace bone mineral density (BMD) screening, which is the test used to diagnose osteoporosis.

Test details

Quest code36614
MethodologyQuantitative Enzyme Immunoassay
Sample type3.5 mL aliquot from a well-mixed, first morning voided urine
CollectionQuest patient service center

Related tests and panels

View all
Calcium Ionized

Measures ionized calcium, the biologically active form of calcium, used…

$99
Collagen Cross-Linked N-Telopeptide (NTx)

Measures a urine marker of bone resorption used in evaluating metabolic bone…

$379
Phosphate (as Phosphorus)

Measures serum phosphorus, a marker typically interpreted alongside calcium…

$19

Quest resources

Additional details

What this test looks at

The test reports deoxypyridinoline crosslinks measured against urine creatinine in a first morning voided urine sample. Quest also lists it as D-Pyrilinks, DPD Cross Link Urine and Urinary Crosslinks DPD.

How it's often used alongside other tests

Quest describes this test as a way to monitor response to antiresorptive therapy in postmenopausal women and people with osteoporosis, and notes explicitly that it does not replace bone mineral density (BMD) screening, which remains the test used to diagnose osteoporosis.

Order online and a physician order is included — no doctor's visit and no insurance needed. Your sample is collected at a Quest Diagnostics patient service center.

Laboratory results should always be interpreted by a licensed clinician who knows your health history. This page is information about a test, not medical advice.

Frequently asked questions

What does this test measure?

It measures deoxypyridinoline crosslinks relative to urine creatinine, using a quantitative enzyme immunoassay, in a first morning urine sample.

How is the sample collected?

The test uses a portion of a well-mixed, first morning voided urine sample, collected at home or at a patient service center.

Do I need to prepare for this test?

No preparation instructions are listed for this test, though people follow any instructions their ordering clinician provides.

Does this test diagnose osteoporosis?

No. Quest states this test does not replace bone mineral density (BMD) screening, which is used to diagnose osteoporosis. It's intended for monitoring response to antiresorptive therapy.

Who uses this test to monitor therapy?

Quest describes it for monitoring response to antiresorptive therapy in postmenopausal women and people with osteoporosis.

How much does the Deoxypyridinoline Crosslinks, Urine test cost?

The cash price at Celio Health is $300. That covers the physician's order and sample collection at a Quest patient service center — no insurance is needed and there's no separate doctor's visit to pay for.

Last updated 2026-09-18 · How we write about lab testing

Educational content

This page is for general educational purposes only. It is not medical advice, and it is not a substitute for consultation with a qualified healthcare professional. Laboratory results should always be interpreted by a licensed clinician who knows your health history. If you have questions about your health or your results, talk with your doctor. If you think you may be experiencing a medical emergency, call 911.