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CT-Guided Kidney Biopsy with Intravenous Contrast

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

A CT-guided kidney biopsy uses imaging guidance and intravenous contrast to collect a small kidney tissue sample for examination.

Quick summary

["This procedure samples kidney tissue to help identify the cause of certain kidney diseases."]

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

Key facts at a glance

LOINC
89621-7
Short code
CT Guided Kidney Bx--W contr IV
Synonyms
CT Guided Kidney Bx--W contr IV
Category
liver
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

What is this test?

A CT-guided kidney biopsy is a minimally invasive procedure in which a needle is guided into the kidney using computed tomography (CT) images. A small tissue sample is removed and examined under a microscope to evaluate kidney disease. Intravenous contrast may be given to help improve the visibility of the kidney and nearby blood vessels during the procedure.

Why might I need this test?

A kidney biopsy may be recommended when blood or urine tests suggest an unexplained kidney problem, or when imaging shows an abnormal area in the kidney. It can help clarify the type of kidney disease and guide treatment decisions. The need for a biopsy is based on the overall medical evaluation and the risks of the procedure.

How is the test performed?

You may receive intravenous contrast through a vein, then lie on a CT table while the kidney is located with imaging. After numbing the skin, the doctor inserts a biopsy needle and removes a small tissue sample. The sample is sent to a pathology laboratory for examination, and the procedure site is checked for bleeding or other complications.

How do I prepare for the test?

Follow the instructions provided by the imaging and procedure team, including any fasting or medication instructions. Tell the team about kidney function problems, prior contrast reactions, allergies, bleeding disorders, pregnancy, and medicines such as blood thinners. The team will explain the procedure, its risks, and how long you should remain for observation afterward.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

CT-guided kidney biopsy

Frequently asked questions

Is a CT-guided kidney biopsy painful?
The skin is usually numbed before the needle is inserted, so most people feel pressure rather than sharp pain. Some may notice brief discomfort during needle sampling, and the procedure team can provide additional numbing or medication when appropriate.
What are the main risks of a kidney biopsy?
The most common risk is temporary blood in the urine, and minor bleeding at the biopsy site can occur. Less commonly, significant bleeding, infection, injury to nearby organs, or a need for another procedure may occur. Your doctor will review your individual risks before the procedure.
How long does it take to get the biopsy results?
Results are usually available within several days, although more specialized testing may take longer. The ordering clinician will explain the findings and discuss how they affect your kidney health or treatment plan.
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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