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Test Code CRCL Creatinine Clearance, Serum and 24-Hour Urine


Necessary Information


1. 24-Hour volume is required.

2. Patient's height in centimeters and weight in kilograms are required.



Specimen Required


Both serum and urine are required. Serum must be collected no earlier than 72 hours before start of urine collection and no later than 72 hours after urine collection is completed.

 

Specimen Type: Serum

Collection Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 1 mL

Collection Instructions:

1. Centrifuge and aliquot serum into plastic vial.

2. Label specimen as serum.

 

Specimen Type: Urine

Supplies: Sarstedt Aliquot Tube, 5 mL (T914)

 

Specimen Volume: 5 mL

Collection Instructions:

1. Collect urine for 24 hours.

2. Refrigerate specimen within 4 hours of completion of 24-hour collection.

3. Label specimen as urine.

Additional Information: For multiple collections see Urine Preservatives-Collection and Transportation for 24-Hour Urine Specimens


Useful For

Estimation of glomerular filtration rate

Profile Information

Test ID Reporting Name Available Separately Always Performed
CRTS1 Creatinine with eGFR, S Yes Yes
CRCU Creatinine, U No Yes

Method Name

Enzymatic Colorimetric Assay

Reporting Name

Creatinine Clearance

Specimen Type

Serum
Urine

Specimen Minimum Volume

Serum: 0.5 mL
Urine: 1 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Serum Refrigerated (preferred)
  Frozen 
Urine Refrigerated (preferred)
  Ambient 
  Frozen 

Reject Due To

Gross hemolysis Reject
Gross lipemia Reject

Reference Values

CREATININE CLEARANCE

Males:

0-18 years: Not established

19-75 years: 77-160 mL/min/body surface area (BSA)

≥76 years: Not established

 

Females:

0-17 years: Not established

18-29 years: 78-161 mL/min/BSA

30-39 years: 72-154 mL/min/BSA

40-49 years: 67-146 mL/min/BSA

50-59 years: 62-139 mL/min/BSA

60-72 years: 56-131 mL/min/BSA

≥73 years: Not established

 

CREATININE, URINE:

Reported in units of mg/dL

 

CREATININE, SERUM

Males:

0-11 months: 0.17-0.42 mg/dL

1-5 years: 0.19-0.49 mg/dL

6-10 years: 0.26-0.61 mg/dL

11-14 years: 0.35-0.86 mg/dL

≥15 years: 0.74-1.35 mg/dL

 

Females:

0-11 months: 0.17-0.42 mg/dL

1-5 years: 0.19-0.49 mg/dL

6-10 years: 0.26-0.61 mg/dL

11-15 years: 0.35-0.86 mg/dL

≥16 years: 0.59-1.04 mg/dL

 

Estimated glomerular filtration rate (eGFR)

≥18 years old: ≥60 mL/min/BSA

eGFR calculated using the 2021 CKD-EPI creatinine equation

Note: eGFR results will not be calculated for patients younger than 18 years old.

Performing Laboratory

MCHS- Mankato

Test Classification

This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

82575

LOINC Code Information

Test ID Test Order Name Order LOINC Value
CRCL Creatinine Clearance 58446-6

 

Result ID Test Result Name Result LOINC Value
CRTSA Creatinine, S 2160-0
EGFR1 Estimated GFR (eGFR) 98979-8
CRE_U Creatinine, U 20624-3
TM54 Collection Duration (h) 13362-9
VL52 Volume (mL) 3167-4
CRCL1 Creatinine Clearance 12195-4

Urine Preservative Collection Options

Note: The addition of preservative or application of temperature controls must occur within 4 hours of completion of the collection.

Ambient

Preferred

Refrigerate

OK

Frozen

OK

50% Acetic Acid

OK

Boric Acid

OK

Diazolidinyl Urea

OK

6M Hydrochloric Acid

OK

6M Nitric Acid

OK

Sodium Carbonate

OK

Thymol

OK

Toluene

No

Forms

If not ordering electronically, complete, print, and send a Renal Diagnostics Test Request (T830) with the specimen.

Day(s) Performed

Monday through Sunday

Report Available

Same day/1 to 2 days