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Creatinine Clearance (Serum-Based, 24-Hour Urine Collection)

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

This test measures how well your kidneys filter waste products from your blood, using a 24-hour urine sample and your serum creatinine level. It helps assess kidney function and overall kidney health.

Quick summary

["A creatinine clearance test helps doctors check how well your kidneys are working by measuring how quickly waste products leave your blood."]

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

Key facts at a glance

LOINC
72953-3
Short code
Sildenafil cit (neut) IgM SerPl Ql FC
Synonyms
Sildenafil cit (neut) IgM SerPl Ql FC
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
flow-cytometry
CPT
82784
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, monitor kidney function over time, or evaluate kidney damage from conditions like diabetes, high blood pressure, or certain medications. It’s also used before surgeries or procedures that may affect kidney function.

What to Expect Before the Test

You’ll need to collect all urine for a full 24-hour period (typically from one morning to the next morning). Your doctor or lab will provide instructions. On the day of testing, you’ll provide a blood sample (serum) to measure creatinine levels. Avoid excessive fluid intake on the day of blood draw if instructed.

What Happens During the Test

The 24-hour urine collection involves emptying your bladder completely at the start of the period, then collecting every drop of urine for the full 24 hours. The blood test is a simple finger-prick or vein draw. Results are calculated by comparing your serum creatinine with the urine creatinine and volume.

What the Results Mean

Results are expressed in milliliters per minute (mL/min) or milliliters per second (mL/s). Lower than expected values may indicate kidney problems, while higher values could suggest dehydration or muscle breakdown. Your doctor will interpret results in the context of your overall health.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Creatinine clearance is a key indicator of kidney function. It helps diagnose chronic kidney disease, monitor progression, and guide treatment for conditions like diabetes or hypertension. Abnormal results may signal early kidney damage that requires medical attention.

Short name

Creatinine Clearance

Frequently asked questions

How long does the 24-hour urine collection take?
The urine collection itself takes about 24 hours, but the process requires careful timing and consistency. Your doctor or lab staff will guide you on when to start and finish the collection to ensure accurate results.
Can I eat or drink normally during the urine collection?
Yes, but follow your doctor’s specific instructions. Typically, you can eat normally, but avoid excessive fluids on the day of your blood test (serum draw) unless advised otherwise to prevent dilution of your creatinine levels.
What if I miss any urine during the 24-hour period?
If you miss any urine, you’ll need to restart the collection. Missing even a small amount can affect the accuracy of your results. Contact your lab or doctor immediately if this happens.
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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