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Creatinine Clearance (from 24-hour urine collection)

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

This test measures how well your kidneys filter waste products, specifically creatinine, over a full day. It helps assess kidney function and blood flow to the kidneys.

Quick summary

["This test helps doctors check how well your kidneys are working and if blood is flowing properly to them."]

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

Key facts at a glance

LOINC
87844-7
Short code
CTA Pelvis vv
Synonyms
CTA Pelvis vv
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ct-angio
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your doctor may order this test if they suspect kidney disease, monitor kidney function over time, or evaluate conditions that affect kidney blood flow, such as high blood pressure or diabetes. It’s also used before surgeries or procedures that could impact kidney function.

How the Test Works

You’ll collect all urine for a full 24-hour period in a special container. The test measures the amount of creatinine in your urine and compares it to a blood sample taken at the start of the collection period to calculate how well your kidneys are filtering waste.

What to Expect Before the Test

No special preparation is needed, but you should drink enough water to produce urine throughout the day. Avoid taking certain medications (like some pain relievers or diuretics) without talking to your doctor first, as they may affect results.

What to Expect During the Test

You’ll collect all urine in a container for 24 hours, changing the container every time you urinate. A small blood sample may be taken at the start to measure baseline creatinine levels. The test is simple but requires careful timing and consistency in urine collection.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Low creatinine clearance may indicate kidney damage, poor kidney function, or reduced blood flow to the kidneys. High values could suggest dehydration or other conditions affecting kidney function. This test helps doctors diagnose kidney disease early and guide treatment plans.

Short name

24-Hour Urine Creatinine Clearance

Frequently asked questions

Why might my doctor order this test?
Your doctor may order this test to check if your kidneys are working properly, especially if you have conditions like high blood pressure, diabetes, or a family history of kidney problems. It’s also useful before surgeries or if you’re taking medications that could affect kidney function.
What does a low creatinine clearance mean?
A low creatinine clearance suggests your kidneys may not be filtering waste as well as they should, which could mean kidney damage or disease. Your doctor will discuss this with you and may recommend further tests or treatments.
Do I need to change my diet before this test?
No special diet is required, but avoid excessive protein or salt if your doctor has specific instructions. Drink plenty of water to help your kidneys work normally throughout the day.
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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