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Serum creatinine concentration (qualitative assessment for end-stage renal disease)

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

This test evaluates kidney function by measuring a protein waste product in your blood, which helps determine if your kidneys are working properly or if you may have advanced kidney disease.

Quick summary

This qualitative assessment helps Medicare determine if you qualify for end-stage renal disease (ESRD) benefits.

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

Key facts at a glance

LOINC
67868-0
Short code
ENDSTAGERENALDISEASEMEDICALEVIDENCEREPORTMEDICAREENTITLEMENTORPATIENT
Synonyms
—
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 This Test Measures

Serum creatinine is a waste product from muscle metabolism that kidneys normally filter out of your blood. When kidney function declines, creatinine levels rise. This test checks whether your levels are consistent with end-stage renal disease (ESRD) criteria, often used in Medicare eligibility evaluations.

Why It Matters for Medicare

Medicare uses specific criteria, including serum creatinine levels, to assess if you qualify for ESRD benefits. This test helps verify whether your kidney function has reached a stage where dialysis or transplantation may be necessary.

How the Test Works

Your blood sample is analyzed to determine the concentration of creatinine. The results are compared to established thresholds to determine if they meet ESRD criteria for Medicare purposes.

What to Expect Before the Test

No special preparation is needed. You may eat and drink normally before the test, but inform your healthcare provider if you are taking medications that could affect kidney function.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

ESRD Lab Review (Serum Creatinine Qualitative)

Frequently asked questions

If your serum creatinine levels are high enough to meet ESRD criteria, you may qualify for Medicare coverage for dialysis or kidney transplant services. This test is part of a broader evaluation to confirm kidney failure and assess your need for long-term medical support.
This test is a qualitative assessment, meaning it provides a general indication rather than a precise measurement. Results may be reviewed alongside other clinical factors to determine eligibility for ESRD benefits.
Yes, your healthcare provider or Medicare representative will discuss the results with you. If you qualify, you may receive information about available treatment options, including dialysis or transplant programs.
If you have questions about the test results or your eligibility for ESRD benefits, contact your healthcare provider or a Medicare representative. They can clarify how these results fit into your overall care plan.
This test is typically performed as part of a larger evaluation for ESRD. If you are already under medical care for kidney disease, your provider may have already discussed the process with you.
No, this test does not provide a single numeric value. Instead, it assesses whether your creatinine levels meet Medicare’s criteria for ESRD. Your provider will explain how the results apply to your situation.
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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