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24-Hour Urinary Creatinine Clearance

Published: August 9, 2026Updated: August 17, 2026

This test measures how well your kidneys filter waste products, specifically creatinine, over a full day using your urine.

Quick summary

["Assesses kidney function by tracking how efficiently your kidneys remove waste from your blood over 24 hours."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
1369-8
Short code
Vit C p PO 24h Ur-mRate
Synonyms
Vit C p PO 24h Ur-mRate
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
80
Ref high
100
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 Is Done

Your doctor may order this test if they suspect kidney disease, evaluate kidney function after a medical event (like an injury or illness), or check how well medications are being processed by your kidneys. It helps determine if your kidneys are working as they should.

How the Test Works

You’ll collect all your urine for a full 24-hour period in a special container. The test measures creatinine levels in both your urine and blood to calculate how much creatinine your kidneys remove from your blood over time.

Sample Collection Process

You’ll start by emptying your bladder into the container at the beginning of the 24-hour period. After that, every time you urinate, you’ll pour the urine into the container. At the end of 24 hours, you’ll measure the total urine volume and send both the urine sample and a fresh blood sample to the lab.

What to Expect

You’ll need to keep a diary of all urine output to ensure accuracy. Avoid certain medications that could affect creatinine levels (like some pain relievers or contrast dyes) unless approved by your doctor. Drink plenty of fluids to support kidney function during this period.

Reference range

NCBI: PaO2 80-100 mmHgN/A

Specimen: urine

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Creatinine Clearance (24h)

Frequently asked questions

This test is crucial for diagnosing and monitoring kidney disease, including conditions like chronic kidney disease or acute kidney injury. It helps assess how well your kidneys are filtering waste and can identify early signs of impaired kidney function that might not be detected by other tests alone.
What does a low or high result mean? Low creatinine clearance may indicate poor kidney function, while very high levels could suggest overhydration or other metabolic issues. Results are interpreted in relation to your overall health and medical history.
How often is this test repeated? Your doctor may repeat this test if they need to monitor kidney function over time, especially if you have an ongoing health condition affecting your kidneys.
Can I eat or drink anything before this test? Stick to your usual diet and fluids unless instructed otherwise, as diet and hydration can influence urine creatinine levels.
Is there any risk or discomfort with this test? The process involves collecting urine over 24 hours, which may require careful tracking, but there are no invasive procedures or risks associated with this test.
Does insurance cover this test? Most insurance plans cover this test if medically necessary, but you should confirm with your insurance provider before scheduling.
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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 17, 2026. · Read our editorial policy