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Creatinine Clearance (Calculated from Serum Creatinine and Estimated Glomerular Filtration Rate)

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

This test measures how well your kidneys filter waste products from your blood, using a calculation based on your creatinine levels and estimated kidney function.

Quick summary

["Assesses kidney function by estimating how efficiently your kidneys remove waste over time."]

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

Key facts at a glance

LOINC
104684-6
Short code
DMA 18:1 DBS-mCnc
Synonyms
DMA 18:1 DBS-mCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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 helps doctors evaluate kidney health by estimating the volume of blood your kidneys filter each minute. Unlike a single creatinine measurement, this test provides a longer-term view of kidney function, which can help detect early signs of kidney damage or disease.

How Is This Test Performed?

To calculate creatinine clearance, your healthcare provider will typically use a 24-hour urine collection to measure how much creatinine is excreted in your urine. Simultaneously, a blood sample is taken to measure your serum creatinine level. The results are then combined with your height, weight, and other clinical factors to estimate your glomerular filtration rate (GFR).

Why Might You Need This Test?

This test may be recommended if you have symptoms of kidney problems (such as swelling, fatigue, or frequent urination), if you have a condition that affects kidney function (like diabetes or high blood pressure), or if you are taking medications that can impact kidney health. It’s also used to monitor kidney function before and after treatments.

What Are Common Causes of Abnormal Results?

Low creatinine clearance may indicate poor kidney function, while very high levels could suggest conditions like severe dehydration or muscle disorders. Abnormal results often prompt further investigation, such as additional kidney function tests or imaging studies.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Creatinine clearance is a critical tool for diagnosing and managing kidney disease. Low levels can signal early kidney damage, allowing for timely interventions to slow progression. Doctors use these results to adjust medications, monitor treatment effectiveness, and plan care for patients with chronic kidney conditions.

Short name

Creatinine Clearance

Frequently asked questions

What does a low creatinine clearance mean?
A low creatinine clearance suggests that your kidneys may not be filtering blood as efficiently as they should, which could indicate kidney damage or disease. This may require further evaluation by your healthcare provider.
How often should I get this test?
The frequency depends on your health condition. If you have kidney disease, diabetes, or high blood pressure, your doctor may recommend regular testing. If you’re healthy, this test may only be needed if you develop symptoms or risk factors for kidney problems.
Can diet or exercise affect creatinine clearance?
Dietary changes (such as reducing protein intake) or exercise can influence creatinine levels, but creatinine clearance is calculated based on urine output and blood results. Your doctor will consider these factors when interpreting your results.
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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