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Serum or Plasma Creatinine Concentration (Mass)

Published: August 9, 2026Updated: August 14, 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

["A creatinine test helps check kidney function by measuring waste in your blood."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 14, 2026Editorial policy

Key facts at a glance

LOINC
2039-6
Short code
CEA
Synonyms
CEA SerPl-mCnc
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top vacutainer tube; plasma may be collected in heparin or EDTA tubes
Units
N/A
Ref low
0
Ref high
3
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Chemiluminescent Immunoassay (CLIA) or Electrochemiluminescent Immunoassay (ECLIA)
CPT
82378
SNOMED
82930-6
Specimen volume
1.0 mL serum or plasma (minimum 0.5 mL)
Stability
Room temperature: 8 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 6 months. Avoid repeated freeze-thaw cycles.
Hemolysis max
100
Lipemia max
150
Icterus max
50
TAT
4–24 hours
Order
routine

Why This Test Matters

Creatinine is a byproduct of muscle breakdown and is normally filtered out by your kidneys. High levels may indicate poor kidney function, while low levels could suggest dehydration or overhydration. This test is often used alongside other kidney function tests to monitor conditions like chronic kidney disease or acute kidney injury.

What to Expect Before the Test

No special preparation is needed for this test. You may have a blood draw (serum/plasma) or a urine sample collected, depending on the specific test ordered. If your doctor asks for a 24-hour urine sample, follow their instructions carefully to collect all urine over that period.

What the Results Mean

Results are typically reported as a concentration (e.g., milligrams per deciliter or micromoles per liter). While reference ranges vary by lab, higher-than-normal levels may signal kidney problems, while very low levels may need further investigation to rule out other causes like muscle disorders or dehydration.

Common Conditions Monitored

This test is commonly used to diagnose and monitor kidney diseases, such as chronic kidney disease, acute kidney injury, and glomerular diseases. It may also be checked in people with diabetes, high blood pressure, or other conditions affecting kidney function.

Reference range

Non-smokers: <3.0 ng/mL (may vary by laboratory and assay manufacturer); Smokers: up to 5.0 ng/mL may be considered within normal limitsN/A

Specimen: serum

No fasting required. Specimen should be collected prior to initiation of chemotherapy, radiation therapy, or surgical intervention when used for baseline monitoring. Avoid hemolyzed or lipemic specimens when possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Kidney Function and Health

Short name

Creatinine Level

Frequently asked questions

What causes high creatinine levels?
High creatinine levels can result from reduced kidney function, dehydration, severe muscle injury, or certain medications. If your levels are elevated, your doctor may recommend further testing to identify the cause, such as additional kidney function tests or imaging studies.
What causes low creatinine levels?
Low creatinine levels may occur if you have very little muscle mass, are severely dehydrated, or have conditions like liver disease that affect muscle breakdown. Your doctor may also check for other factors, such as overhydration or certain genetic conditions, if levels are unusually low.
How often should I get this test?
Your doctor will determine how often you need this test based on your health history, current conditions, and symptoms. Regular monitoring may be recommended if you have kidney disease, diabetes, or other health issues that affect kidney function.
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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 14, 2026. · Read our editorial policy