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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, specifically creatinine, over a full day through your urine.

Quick summary

["Assesses kidney function by tracking how efficiently your kidneys remove waste from your blood over 24 hours."]

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

Key facts at a glance

LOINC
50685-7
Short code
GH 24h Ur-mRate
Synonyms
GH 24h Ur-mRate
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?

Your urine is collected over 24 hours to measure the amount of creatinine, a waste product naturally produced by your muscles. Creatinine clearance helps doctors evaluate how well your kidneys are filtering blood and removing waste, which is important for detecting early kidney problems or monitoring kidney health in chronic conditions like diabetes or high blood pressure.

Why Might Your Doctor Order This Test?

A 24-hour urine creatinine clearance test may be recommended if you have symptoms of kidney disease (such as swelling, fatigue, or frequent urination), if you have a chronic condition that affects kidney function, or if your doctor wants to monitor kidney health before or after treatments like certain medications or surgeries.

How Is This Test Performed?

You’ll need to collect all urine produced in a 24-hour period in a special container. Your doctor or nurse will provide instructions on timing and storage. The urine sample is then sent to a lab for analysis.

What Are the Results Typically Used For?

The results help determine your glomerular filtration rate (GFR), a measure of kidney function. Low clearance may indicate kidney damage or disease, while normal results suggest healthy kidney function.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

24h Urine Creatinine Clearance

Frequently asked questions

What does a low or high creatinine clearance mean?
A low creatinine clearance may signal impaired kidney function, which could be due to kidney disease, dehydration, or other health issues. A high clearance might suggest overhydration or other conditions affecting fluid balance, but results should always be interpreted by your healthcare provider.
How often should I get this test?
Your doctor will determine how often you need this test based on your health condition, medical history, and treatment plan. Regular monitoring may be needed if you have chronic kidney disease or other conditions affecting kidney function.
Do I need to prepare for this test?
Yes, follow your doctor’s instructions carefully. Typically, you’ll need to collect all urine for 24 hours, starting and ending at the same time each day. Avoid certain medications or foods that might affect kidney function before the test, if advised.
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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