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Serum Creatinine-to-Creatinine Clearance Ratio (Creatinine Clearance)

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

This test measures how well your kidneys filter waste products from your blood, using creatinine levels and estimated urine flow. It helps assess kidney function and blood pressure management.

Quick summary

["This test helps doctors check if your kidneys are working properly and if your blood pressure is under control."]

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

Key facts at a glance

LOINC
22200-0
Short code
C trach G+F+K IgA Titr Ser
Synonyms
C trach G+F+K IgA Titr 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

What Does This Test Measure?

Creatinine is a waste product naturally produced by your muscles when they break down proteins. Kidneys filter this waste from your blood and remove it from your body through urine. This test calculates how well your kidneys are removing creatinine from your blood by comparing creatinine levels in serum to an estimated urine flow rate.

Why Might You Need This Test?

Your doctor may order this test if you have symptoms of kidney problems (like swelling, fatigue, or frequent urination), if you have a history of high blood pressure or diabetes, or if you’re taking medications that can affect kidney function.

How Is This Test Done?

A blood sample is taken from a vein in your arm, and a urine sample may be collected (though clearance is estimated rather than measured directly). The test measures creatinine levels in serum and uses standard formulas to estimate kidney function.

What Are Common Causes of Abnormal Results?

Low results may indicate overestimation of kidney function or errors in urine collection. High results could suggest kidney damage, dehydration, or conditions like chronic kidney disease or severe muscle breakdown.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Creatinine Clearance Ratio

Frequently asked questions

What does a low creatinine clearance ratio mean?
A low result may suggest your kidneys are not filtering waste as well as expected, possibly due to kidney disease, dehydration, or other factors affecting urine output. Your doctor will discuss this with you in detail.
Does this test require fasting?
No fasting is required for this test. Blood is drawn at a convenient time, and urine may be collected at home (if instructed) or in a clinic setting.
How often should I get this test?
Your doctor will determine how often you need this test based on your health condition, medications, and risk factors. Follow their guidance for regular monitoring.
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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