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Calculated 24-Hour Urinary Creatinine Clearance

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

This test measures how well your kidneys filter waste products by calculating your urine output over 24 hours relative to your blood creatinine levels.

Quick summary

["Assesses kidney function by estimating how efficiently your kidneys clear waste from your blood."]

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

Key facts at a glance

LOINC
105273-7
Short code
Gluc RptPeriod Mean Intrstl fld calc
Synonyms
Gluc RptPeriod Mean Intrstl fld calc
Category
glucose
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
true
Population
adult
Sex
all
Age range
18–65 years
Method
calculated
CPT
86140
SNOMED
396252006
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

Creatinine is a waste product from muscle metabolism that your kidneys normally remove from your blood. This test calculates your **creatinine clearance**, which reflects how well your kidneys filter this waste. The result helps determine how effectively your kidneys are working to remove waste and maintain fluid balance.

Why It’s Done

Your doctor may order this test if they suspect kidney disease, monitor kidney function in chronic conditions (like diabetes or high blood pressure), or assess kidney function before certain procedures. It’s also used to guide treatment decisions for conditions affecting kidney function.

How It’s Done

You’ll collect a **24-hour urine sample** (starting after an initial urine void) into a container, returning it to the lab with the collected urine. Blood may also be drawn to measure creatinine levels. The test involves analyzing both urine and blood samples to calculate clearance.

What to Expect

Urine collection requires careful timing—you’ll need to keep the container refrigerated and return it promptly. Blood draws are standard and quick. Follow your doctor’s instructions precisely to ensure accurate results.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

None

Frequently asked questions

How does creatinine clearance differ from a simple blood creatinine test?
Creatinine clearance provides a more comprehensive picture of kidney function by accounting for urine volume and creatinine levels over 24 hours. A blood creatinine test alone can’t distinguish between kidney issues (e.g., reduced filtration) and other factors (e.g., muscle mass).
What are the typical reference ranges for this test?
Reference ranges vary by age, sex, and overall health. A lower clearance may indicate kidney problems, while higher values (rare) could suggest dehydration or overhydration. Your doctor will interpret results in context with your medical history.
Can diet affect creatinine clearance?
Yes—high-protein diets or muscle mass can influence creatinine levels. Avoiding excessive protein for a few days before testing may help standardize results. Always discuss dietary adjustments with your healthcare provider.
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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