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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 a blood sample. It helps assess kidney function and overall kidney health.

Quick summary

["A creatinine clearance test helps doctors check how well your kidneys are working by measuring how quickly waste products leave your blood through urine."]

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

Key facts at a glance

LOINC
44991-8
Short code
C trach C IgM Ser Ql
Synonyms
C trach C IgM Ser Ql
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

What Is Creatinine Clearance Used For?

Creatinine clearance is primarily used to evaluate kidney function. It can help diagnose kidney disease, monitor kidney function in patients with chronic conditions (like diabetes or hypertension), and guide treatment decisions for those on dialysis or with kidney-related medications.

How Is the Test Performed?

To perform this test, you’ll need to collect all urine for a full 24-hour period, starting after you wake up the next morning. You’ll also provide a blood sample at the end of the collection period. Your healthcare provider will guide you through the process to ensure accuracy.

What Do the Results Mean?

Results are typically expressed in milliliters per minute (mL/min). Lower than expected values may indicate impaired kidney function, while higher values could suggest overhydration or other conditions. Your doctor will interpret these results in the context of your overall health.

Common Causes of Abnormal Results

Abnormal creatinine clearance results may be caused by kidney disease, dehydration, overhydration, certain medications, or conditions affecting blood flow to the kidneys. Chronic kidney disease, diabetes, or high blood pressure are common underlying causes.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Creatinine Clearance

Frequently asked questions

Why might my doctor order a creatinine clearance test?
Your doctor may order this test to evaluate kidney function, especially if you have symptoms like fatigue, swelling, frequent urination, or if you have a history of chronic kidney disease, diabetes, or high blood pressure. It’s also used to monitor kidney health in patients on dialysis or those taking nephrotoxic medications.
What are the typical reference ranges for creatinine clearance?
There isn’t a single standard reference range because it varies based on age, sex, body size, and overall health. Your doctor will use your specific results to determine if they are within an expected range for you.
How often should I get this test?
The frequency of this test depends on your health condition. If you have chronic kidney disease, your doctor may recommend regular monitoring. Otherwise, it’s usually ordered as needed for specific concerns or evaluations.
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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