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Creat48hurmrate

Published: July 31, 2026Updated: August 16, 2026

A test that measures the amount of creatinine in your urine collected over 48 hours to evaluate how well your kidneys are functioning.

Quick summary

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

Key facts at a glance

LOINC
16689-2
Short code
UCR48
Synonyms
Creat 48h Ur-mRate
Category
kidney
Sample
urine
Container
Sterile urine container, preferably with graduated markings or separate graduated collection container
Units
not specified
Ref low
1.6
Ref high
4
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Enzymatic or Jaffe Kinetic Colorimetric Method
CPT
82570
SNOMED
271295004
Specimen volume
Complete 48-hour urine collection (typical volume 1000-3000 mL depending on hydration status)
Stability
Refrigerated: 5-7 days; Frozen (-20°C): 30 days; Room temperature: 24-48 hours if refrigerated not possible
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

The 48-hour urine creatinine test measures the amount of creatinine in your urine over a 48-hour period. Creatinine is a waste product that comes from the normal breakdown of muscle tissue. Your kidneys normally filter creatinine out of your blood and excrete it in urine. This test helps doctors understand how well your kidneys are removing creatinine from your body.

Why do I need this test?

Your doctor may order this test to: evaluate how well your kidneys are working, check for kidney disease or damage, monitor kidney function if you have conditions like diabetes or high blood pressure, or to help calculate your creatinine clearance rate (a measure of kidney function).

How do I prepare for the test?

Your doctor will give you specific instructions. Generally, you should: collect all urine for exactly 48 hours as directed, keep the collection container refrigerated or in a cool place, avoid strenuous exercise during the collection period, inform your doctor about all medications you are taking, and follow your normal diet unless told otherwise.

How is the test performed?

You will be given a large collection container. Starting on day one, urinate into the container (not the toilet) each time you need to empty your bladder. Keep the container refrigerated. After exactly 48 hours, bring the complete collection to your laboratory or doctor's office as instructed. The urine will be analyzed to measure the total amount of creatinine excreted.

What do the results mean?

Your test results will show the total amount of creatinine in your 48-hour urine collection. Combined with a blood test (serum creatinine), doctors can calculate your creatinine clearance rate. Higher than normal creatinine excretion may indicate muscle breakdown or high protein intake. Lower than expected levels may suggest kidney problems. Your doctor will interpret your results based on your age, sex, muscle mass, and overall health.

Reference range

1.6-4.0 g/48 hrnot specified

Specimen: urine

Complete 48-hour timed urine collection; refrigerate during collection; avoid vigorous exercise

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Does the 48-hour collection have to be exactly 48 hours?
Yes, it is important to collect urine for exactly 48 hours for accurate results. Try to start and end at the same time on consecutive days. If you miss a collection, tell your doctor before starting the test over.
What happens if I forget to collect a urine sample?
If you miss a sample, do not try to add it later. Simply note the missed collection and continue with the rest. However, incomplete collections may affect accuracy, so inform the laboratory or your doctor about any missed samples.
Do I need to fast before this test?
Typically, you do not need to fast for a urine creatinine test. However, follow any specific instructions from your doctor. Avoid heavy exercise during the collection period as it can affect creatinine levels.
Can I take my medications during the collection?
Continue taking your regular medications unless your doctor instructs otherwise. Some medications can affect creatinine levels, so inform your doctor about all prescriptions, over-the-counter drugs, and supplements you are taking.
How long does it take to get results?
Results are usually available within a few days after completing the urine collection. Your doctor's office will contact you with the results or discuss them at your next appointment.
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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