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Creatinine Clearance (Serum-Based, 24-Hour Urine Collection)

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

This test measures how well your kidneys filter waste products from your blood, using a 24-hour urine sample and your serum creatinine level.

Quick summary

["Assesses kidney function by estimating how efficiently your kidneys clear waste from your blood over 24 hours."]

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

Key facts at a glance

LOINC
109166-9
Short code
C trach C IgA Msmt Ser
Synonyms
C trach C IgA Msmt Ser
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82784
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 It’s Done

Your doctor may order this test if you have symptoms of kidney problems, such as fatigue, swelling, or frequent urination. It’s also used to monitor kidney function in people with diabetes, high blood pressure, or other chronic conditions that can affect the kidneys.

How It Works

You’ll provide a 24-hour urine sample (typically collected over a full day) and a blood sample. The test compares the amount of creatinine in your urine to your blood to calculate how much creatinine your kidneys remove from your blood each minute.

What to Expect

You’ll need to collect all urine for a full 24-hour period, including during sleep. Your doctor or lab technician will guide you on proper collection. The blood draw is simple and usually done at your doctor’s office or lab.

Factors That Can Affect Results

Factors like dehydration, muscle mass, or certain medications can influence your creatinine levels. Drinking plenty of water and avoiding over-the-counter pain relievers (like NSAIDs) before the test can help ensure accurate results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Low creatinine clearance may indicate kidney damage or disease, while very high levels could suggest dehydration or muscle disorders. This test helps doctors diagnose and monitor kidney function, especially in people with chronic conditions like diabetes or hypertension.

Short name

Creatinine Clearance

Frequently asked questions

How long does a 24-hour urine collection take?
A 24-hour urine collection requires careful timing and consistency. You’ll need to collect all urine for a full day, including waking hours and sleep. Your lab technician will provide clear instructions to ensure accuracy.
Can I eat or drink normally during the urine collection?
Yes, but avoid excessive alcohol or caffeine, which can affect urine volume. Stick to your usual diet and hydration unless instructed otherwise by your healthcare provider.
What if I miss any urine during the collection?
If you miss any urine, your test results may be inaccurate. Follow your lab technician’s instructions carefully to ensure you collect all urine produced during the 24-hour period.
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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