Creatinine EGFR panel

Test Code
CREATININE EGFR PANEL


Alias/See Also
Chemistry


Includes
Creatinine
EGFR calculation


Preferred Specimen
Light Green Top Tube -Plasma


Minimum Volume
2 mL


Other Acceptable Specimens
Gold Top Tube


Transport Temperature
Refrigerate


Specimen Stability
Room temperature: 7 days
Refrigerated (2-8°C): 7 days
Frozen (-20°C or colder): 3 months


Methodology
Methodology: Kinetic Alkaline Picrate

Setup Schedule
Daily


Report Available
TAT 1 day


Reference Range

Reference Range

 
VA BACL Reference Range mg/dL (Serum/Plasma)  
Reference Range Male
Reference Range Female
0.60 – 1.30
0.50 - 1.20
 
 
VA BACL Reference Range mL/min
eGFR >60
Canned comments: GFR estimates are less precise at higher GFR levels than at lower levels, and healthcare providers should remain aware of caveats for any estimating equation that may influence the accuracy in an individual person
Evaluation comments Estimated Glomerular Filtration Rate(eGFR) calculated using the 2021 chronic kidney disease-Epidemiology(CKD-EPI) Collaboration creatinine equation. Units of measure are mL/min/1.73 m2.
 
 
 
 
 
eGFR (estimated Glomerular Filtration Rate)
  • EGFR (CKD-EPI 2021)
eGFRcr = 142 x min(Scr/κ, 1)α x max(Scr/κ, 1)-1.200 x 0.9938Age x 1.012 [if female]
where:   Scr = serum creatinine in mg/dL
κ = 0.7 (females) or 0.9 (males)
α = -0.241 (female) or -0.302 (male)
min(Scr/κ, 1) is the minimum of Scr/κ or 1.0
max(Scr/κ, 1) is the maximum of Scr/κ or 1.0
Age (years)
 
Note: Calculators for checking the accuracy of this calculation are available on this website:
eGFR Calculator | National Kidney Foundation (https://www.kidney.org/professionals/kdoqi/gfr_calculator)
 


Clinical Significance

SUMMARY AND EXPLANATION OF THE TEST



Creatinine is eliminated from blood by glomerular filtration. Reduced renal function results in an increased serum creatinine concentration. Measurement of serum creatinine is used to diagnose and monitor acute and chronic renal disease, estimate glomerular filtration rate (GFR), or assess the status of renal dialysis patients. Urine creatinine analysis is used to calculate creatinine clearance, confirm completeness of 24 hour collections, or serve as a reference quantity for other analytes, such as in calculation of the albumin/creatinine ratio.1 In 1886 Jaffe developed an assay for creatinine based upon the reaction between creatinine and sodium picrate.2 In 1904 Folin3 used this reaction for the quantitative determination of creatinine in urine. Kinetic procedures based on the observed reaction rates of various substances, including creatinine, with alkaline picrate have been proposed by Fabiny4 and Soldin.5 This improved Jaffe chemistry is a kinetic procedure which does not require deproteinization of the sample and is formulated to reduce the interference of serum proteins.




Performing Laboratory
Test performed in BACL Chemistry Labs
Contact: Jonathan Dryjowicz-Burek, West Roxbury 857-203-5973
Alternate contact Joseph A. Manzone JP 857-364-5092
 


Last Updated: October 7, 2026


The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.