Skip to content

Plasma or Serum Creatinine to Urine Creatinine Ratio (24-hour collection)

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

This test measures how efficiently your kidneys filter waste products, specifically comparing creatinine levels in your blood to those in your urine over 24 hours. It helps assess kidney function and blood flow to the kidneys.

Quick summary

["This test helps evaluate kidney health and blood flow by measuring how well your kidneys filter waste products over a full day."]

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

Key facts at a glance

LOINC
110362-1
Short code
PPG/Creat Msmt Ur
Synonyms
PPG/Creat Msmt Ur
Category
glucose
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

Why This Test Matters

Kidney function is critical for removing waste and excess fluids from your blood. This test provides a detailed picture of how well your kidneys are working by tracking creatinine levels in both your blood and urine over a full day. It can help detect early signs of kidney problems, including conditions like chronic kidney disease or kidney damage.

How the Test Works

You’ll collect urine for 24 hours, typically starting after a full night’s sleep. Your healthcare provider will provide instructions on when and how to begin and end the collection. Blood is drawn once to measure your creatinine level. The ratio of creatinine in your urine to blood helps determine how well your kidneys are filtering waste.

What to Expect Before the Test

No special preparation is needed for the blood draw, but you should follow your urine collection instructions carefully. Drink plenty of fluids during the day to help your kidneys produce urine. Avoid medications that may affect kidney function unless approved by your doctor.

What to Expect During the Test

The blood draw is quick and usually done in a clinic or lab. The urine collection requires careful timing and may involve a 24-hour period. If you miss any urine or have an accident, inform your healthcare provider immediately to ensure accurate results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Creatinine Clearance Ratio

Frequently asked questions

How often should I get this test?
The frequency depends on your health condition. If you have kidney disease, diabetes, or high blood pressure, your doctor may recommend this test more often. For general health, it’s usually not routinely recommended unless you have risk factors.
What do my results mean?
Results are interpreted by your healthcare provider based on your overall health and medical history. A ratio that’s too low or too high may signal kidney issues or other health concerns. Your doctor will discuss the results with you in detail.
Can I eat or drink anything before the test?
For the blood draw, you can eat and drink normally. For the urine collection, follow your provider’s instructions carefully, as drinking fluids and timing are important to get an accurate result.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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