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Urine Creatinine-to-Creatinine Clearance Ratio (24-hour collection)

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

This test measures how well your kidneys filter waste products from your blood by comparing urine and blood creatinine levels over 24 hours. It helps assess kidney function and blood flow.

Quick summary

["Assesses kidney function and blood flow over a full day."]

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

Key facts at a glance

LOINC
44233-5
Short code
NM Kidney Views WO+W Tc99mDTPA IV
Synonyms
NM Kidney Views WO+W Tc99mDTPA IV
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
nm
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 This Test Is Done

Your doctor may order this test if they suspect kidney disease, evaluate chronic kidney conditions, or check for issues like dehydration, heart problems, or certain medications affecting kidney function. It’s also used to monitor kidney health in people with diabetes or high blood pressure.

How the Test Works

You’ll collect all your urine for 24 hours in a special container. Blood is drawn at the start and end of the collection period to measure creatinine levels in both urine and blood. Creatinine is a waste product from muscle metabolism that kidneys filter out.

Sample Collection Process

To collect urine, empty your bladder completely before starting, then use the container to catch all urine for the full 24 hours. Label the container with your name, date, and time. Avoid using toilet paper or sanitary products in the urine. Blood samples are taken by a healthcare provider at the start and end of the period.

What to Expect Before the Test

No special preparation is needed, but drink plenty of fluids the day before to ensure normal urine output. Avoid excessive alcohol or certain medications that could affect kidney function. Wear comfortable clothing and plan for a full day of urine collection.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test helps diagnose kidney disease, including chronic kidney disease (CKD), by measuring how well your kidneys filter waste. Low results may indicate poor kidney function or blockages, while high results could suggest dehydration or overhydration. It’s particularly useful for monitoring kidney health in people with diabetes or high blood pressure, as these conditions often affect kidney function.

Short name

Urine Creatinine Clearance

Frequently asked questions

What does a low urine creatinine clearance mean?
A low urine creatinine clearance suggests your kidneys may not be filtering waste as efficiently as they should, which could indicate kidney disease, reduced blood flow to the kidneys, or other conditions affecting kidney function.
What if I miss any urine or blood samples during the collection?
If you miss any urine or blood samples, your test results may not be accurate. Contact your healthcare provider immediately to reschedule or adjust the test. Follow their instructions carefully to ensure proper results.
Can I take medications during urine collection?
Some medications, like nonsteroidal anti-inflammatory drugs (NSAIDs) or certain diuretics, may affect kidney function. Always inform your healthcare provider before starting any new medications during your urine collection period.
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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