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24-Hour Urinary Creatinine Clearance

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

This test measures how well your kidneys filter waste products from your blood over a full day, using a 24-hour urine sample. It helps assess kidney function and blood pressure management.

Quick summary

["Kidney function and blood pressure are evaluated with this test."]

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

Key facts at a glance

LOINC
14643-1
Short code
FCA 24h Ur-sRate
Synonyms
FCA 24h Ur-sRate
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What Does This Test Measure?

Creatinine clearance calculates the volume of blood your kidneys filter per minute (or over 24 hours). It combines results from your blood creatinine level and the amount of creatinine excreted in your urine. This helps determine how efficiently your kidneys remove waste products from your bloodstream.

Why Is This Test Done?

Your doctor may order this test if you have symptoms of kidney disease (such as fatigue, swelling, or frequent urination), if you have a history of kidney problems, or if you’re taking medications that can affect kidney function. It’s also used to monitor chronic conditions like diabetes or high blood pressure.

How Is This Test Performed?

You’ll collect all urine for a full 24-hour period in a special container. At the start and end of the period, your blood will be drawn to measure creatinine levels. The test requires precise timing and accurate urine collection to ensure accurate results.

What Are Common Results?

Results are typically reported as a clearance rate (e.g., in milliliters per minute or liters per day). Lower than expected values may indicate kidney dysfunction, while higher values could suggest overhydration or other conditions.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Creatinine Clearance (24h)

Frequently asked questions

What does a low creatinine clearance mean?
A low creatinine clearance may suggest reduced kidney function, which could be due to chronic kidney disease, dehydration, or other kidney-related issues. Your doctor will discuss findings in the context of your overall health.
How often should I get this test?
Frequency depends on your health status. If you have kidney disease or take medications affecting kidneys, your doctor may recommend testing every few months or annually. Follow-up depends on your treatment plan.
Can diet affect this test?
Yes, high-protein diets or certain medications (e.g., NSAIDs) may temporarily alter creatinine levels. Your doctor may adjust timing or instructions to ensure accurate results, especially if you’re on specific medications or diets.
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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