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24-Hour Creatinine Clearance (from urine and serum)

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

This test measures how well your kidneys filter waste products from your blood over a 24-hour period by comparing urine and blood samples.

Quick summary

["Assesses kidney function and filtering efficiency over time."]

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

Key facts at a glance

LOINC
36033-9
Short code
MR Kidney
Synonyms
MR Kidney
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
mr
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

Why Is This Test Done?

Your doctor may order this test to check if your kidneys are working properly, especially if you have symptoms like fatigue, swelling, or changes in urine output. It helps diagnose kidney disease, monitor chronic conditions like diabetes or high blood pressure, or evaluate kidney function before certain treatments.

What to Expect Before the Test

You’ll collect a 24-hour urine sample starting from one point in the morning until the same time the next morning. Store the urine in a refrigerator and bring the entire sample to your lab visit. On the same day, a blood sample will be taken to measure your creatinine level.

What Happens During the Test?

The urine sample is tested for creatinine concentration, while the blood sample measures your baseline creatinine level. These values are then used to calculate how efficiently your kidneys filter waste from your blood.

What Are the Results Measured Against?

Results are typically expressed as milliliters per minute (mL/min) or milliliters per second (mL/s). This test helps determine if your kidney function is within a healthy range or if further medical evaluation is needed.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

24h CrCl

Frequently asked questions

What Does a Low or High Result Mean?
A lower than expected result may indicate poor kidney function or filtration, which could be due to kidney disease, blockages, or other conditions affecting blood flow to the kidneys. A higher than expected result might suggest dehydration or overhydration, but it’s less common and usually requires further investigation.
How Often Should I Get This Test?
Your doctor will determine how often you need this test based on your health condition. For example, people with chronic kidney disease may need it more frequently, while others with stable conditions might only need it periodically.
Can I Eat or Drink Normally Before This Test?
Yes, you can eat and drink normally before the test, but make sure to follow your doctor’s specific instructions regarding urine collection. Avoid any special dietary restrictions unless advised otherwise.
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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