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Creatinine Clearance (24-hour urine collection)

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

This test measures how well your kidneys filter waste products from your blood over a 24-hour period, using urine and blood samples.

Quick summary

["Assesses kidney function by evaluating how efficiently your kidneys remove waste."]

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

Key facts at a glance

LOINC
19409-2
Short code
Cocaethylene CtO Ur Scn-mCnc
Synonyms
Cocaethylene CtO Ur Scn-mCnc
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
screen
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Matters

Creatinine clearance helps doctors check how well your kidneys are working. It’s important because kidney function affects many other parts of your body, including your blood pressure, heart, and bones. If your kidneys aren’t filtering waste properly, it can lead to health problems over time.

How the Test Works

You’ll provide a 24-hour urine sample (collected in a special container) and a blood sample. The urine is tested for creatinine levels, while the blood is tested for creatinine and other factors like blood urea nitrogen (BUN). The test compares how much creatinine is in your urine versus your blood to calculate clearance.

Preparation for the Test

You’ll need to collect all urine for a full 24-hour period (from one full day to the next). Drink plenty of fluids but avoid special diets unless instructed by your doctor. Store the urine in a cool place and bring the container and all samples to your lab visit.

What to Expect During the Test

The urine collection is straightforward—just empty your bladder into the container every time you urinate, including first thing in the morning. The blood draw is quick and done in a clinic or lab. You may feel slight discomfort, but it’s usually over quickly.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

None

Frequently asked questions

A creatinine clearance test is critical for diagnosing and monitoring kidney disease. Low clearance may indicate impaired kidney function, while high clearance could suggest overhydration or other conditions. It’s often used alongside other tests to assess kidney health, especially in people with symptoms like fatigue, swelling, or frequent urination.
This test can help detect early kidney problems before they become serious. It’s also useful for people with diabetes, high blood pressure, or a family history of kidney disease.
How often should I get this test?
Your doctor will determine how often you need this test based on your health condition. For example, people with chronic kidney disease may need it every few months, while others might only need it once a year or less.
What happens if my results are abnormal?
If your creatinine clearance is lower than expected, your doctor may recommend further tests or treatments to manage kidney function. If it’s higher, they might investigate causes like dehydration or other medical conditions. Always discuss your results with your healthcare provider.
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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