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Potassium/Creatinine Ratio, Urine

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

Measures urinary potassium relative to urinary creatinine, helping assess potassium excretion while accounting for urine concentration.

Quick summary

["This urine test helps evaluate how much potassium your body is excreting relative to creatinine."]

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

Key facts at a glance

LOINC
43222-9
Short code
Potassium/Creat Ur-Rto
Synonyms
Potassium/Creat Ur-Rto
Category
kidney
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
3.5
Ref high
5
Critical range
2.5 N/A – 6.5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84132
SNOMED
110742001
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 is this test?

This test measures the amount of potassium in urine compared with the amount of creatinine in the same sample. Creatinine is used as a reference marker for urine concentration, so the ratio can help show how much potassium is being excreted without being strongly affected by how dilute or concentrated the urine is.

Why might I need this test?

Your clinician may use this test to assess potassium balance, evaluate possible kidney or electrolyte problems, or monitor certain medicines that can alter potassium levels. It may also be used during the evaluation of unusually high or low blood potassium levels.

How is the test performed?

A urine sample is collected in a laboratory-provided container. Potassium and creatinine are measured, and their results are used to calculate the potassium-to-creatinine ratio. The collection time and type of urine sample should follow the instructions provided by your clinician.

How do I prepare for the test?

This test usually does not require fasting, but your clinician may specify a collection time or other preparation. Collect the urine in the correct container, avoid contaminating it with toilet paper or other material, and follow the laboratory’s storage and submission instructions.

Reference range

Adult: 3.5-5.0 mmol/LN/A

Specimen: urine

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Urine potassium-to-creatinine ratio

Frequently asked questions

Does this test measure blood potassium?
No. It measures potassium and creatinine in urine and calculates their ratio. Your clinician may order it alongside a blood potassium test.
Why is creatinine included in the urine test?
Creatinine helps indicate how concentrated the urine is. Using it as a reference makes the potassium result less dependent on variations in urine volume.
Do I need to collect all urine for a full day?
Not necessarily. This test can sometimes be calculated from a single urine specimen, but your clinician or laboratory may request a timed collection. Follow the specific collection instructions you are given.
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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