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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, using a 24-hour urine sample. It helps assess kidney function and blood flow to the kidneys.

Quick summary

["A key way to check kidney health and blood flow over a full day."]

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

Key facts at a glance

LOINC
35991-9
Short code
CT Foot
Synonyms
CT Foot
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
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 Matters for Kidney Health

Creatinine clearance is important because it reflects how efficiently your kidneys remove waste from your blood. Unlike a single blood test, this 24-hour method gives a more complete picture of kidney function over time.

How the Test Works

You’ll collect all urine for a full 24-hour period in a special container. Blood and urine samples are sent to the lab to measure creatinine levels. The lab calculates clearance by comparing urine and blood creatinine levels to your body weight.

What to Expect Before the Test

No special preparation is needed, but drink plenty of water to help your kidneys work normally. Avoid diuretics (like caffeine) that may affect urine output. Wear comfortable clothing for easy collection.

What to Expect During the Test

You’ll start by emptying your bladder into the container at the beginning of the 24-hour period. After that, collect all urine—including at night—until you finish at the end of the day. A healthcare provider may remind you to stay hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Low creatinine clearance may indicate kidney disease, poor blood flow, or other conditions affecting kidney function. High values could suggest dehydration or overhydration. This test helps doctors diagnose and monitor kidney problems early, especially in people with diabetes, high blood pressure, or a history of kidney issues.

Short name

24-Hour Urine Creatinine Clearance

Frequently asked questions

Why might my doctor order this test?
Your doctor may recommend creatinine clearance if they suspect kidney disease, evaluate kidney function after a kidney injury, or monitor chronic conditions like diabetes or high blood pressure that can affect kidneys.
What do my results mean?
Results are compared to your body size and overall health. A lower-than-expected value may mean kidneys aren’t filtering waste well, while higher values could signal dehydration or other factors. Your doctor will discuss findings with you.
Can I eat or drink anything before the test?
Yes, you can eat and drink normally, but drink extra water to help your kidneys work properly. Avoid excessive caffeine or diuretics unless instructed by your doctor.
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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