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Serum or Plasma Creatinine Concentration (Substance Concentration)

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

This test measures the amount of creatinine, a waste product from muscle metabolism, in your blood or plasma. It helps assess how well your kidneys are filtering blood.

Quick summary

["Kidney function and waste removal depend on this test."]

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

Key facts at a glance

LOINC
105036-8
Short code
VIM4
Synonyms
blaVIM-4 Islt/Spm Ql
Category
chemistry
Sample
serum
Container
Sterile transport container or bacterial culture transport medium; for serum samples, serum separator tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
molgen
CPT
87798 (unlisted amplified probe technique)
SNOMED
122451000146107
Specimen volume
1-2 mL serum; minimum 0.5 mL
Stability
Serum stable at 2-8°C for 7 days; frozen at -70°C for prolonged storage. Isolated bacterial colonies stable on appropriate transport media per laboratory protocol.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

Why Is This Test Done?

Your doctor may order this test to check for kidney problems, monitor kidney disease, or evaluate how well medications are being processed by your kidneys. It can also help diagnose conditions like dehydration, heart failure, or muscle disorders.

What to Expect Before the Test

No special preparation is usually needed. You may be asked to fast for 8–12 hours before the test if it’s part of a larger panel, but this isn’t always required for a standalone creatinine test. Drink plenty of water the day before if you’re dehydrated.

How the Test Works

A blood sample is drawn from a vein in your arm. The lab then measures the creatinine level using a specialized test that detects its presence in the serum or plasma.

What the Results Mean

Higher-than-normal levels may indicate kidney problems, poor kidney function, or conditions that increase muscle breakdown. Lower-than-normal levels could suggest dehydration or overhydration. Your doctor will interpret results in relation to your overall health.

Reference range

Negative (blaVIM-4 gene not detected)N/A

Specimen: serum

No special patient preparation required. Specimen should be collected prior to initiation of antimicrobial therapy when clinically feasible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated creatinine levels are often a key marker for kidney dysfunction, as it reflects impaired filtration. It’s commonly used alongside other tests (like blood urea nitrogen) to assess kidney health. Chronic elevation may signal chronic kidney disease (CKD), while acute spikes can indicate acute kidney injury (AKI). Doctors may also use it to monitor treatment responses or adjust medications that rely on kidney clearance.

Short name

Creatinine

Frequently asked questions

How often should I get this test?
The frequency depends on your health condition. If you have kidney disease, your doctor may recommend testing every few months or more often. Healthy individuals may only need it if they have risk factors (e.g., diabetes, high blood pressure) or symptoms like fatigue or swelling.
What can affect my creatinine levels?
Several factors can influence results, including muscle mass (higher muscle = higher creatinine), dehydration or overhydration, recent exercise, or certain medications. If you’ve had recent surgery, trauma, or muscle breakdown, your levels may temporarily rise.
Do I need to do anything special after the test?
No special actions are needed afterward. If you had a blood draw, apply gentle pressure to the site to stop bleeding, and avoid heavy lifting for a few hours. Follow up with your doctor if you have questions or concerns about your results.
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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